Arrizabalaga M, Casanueva T, Benítez J, Escribano G, Gallardo C
Actas Urol Esp. 1989 Jan-Feb;13(1):49-52.
During the period of time between November 1986 and May 1988, 14 total cystectomies with one-step urinary derivations were performed in our Service. The surgical techniques utilized include: 7 Bricker, 2 Camey, 1 ileocecal segment derivation, 2 cutaneous transureterostomies and 2 cutaneous ureterostomies. Among the complications observed there were 3 intestinal fistulas which were treated at first in a conservative way with parenteral nutrition and somatostatin. An immediate response was obtained in all three cases with a decrease in the fistula deficit. Surgical treatment was required in two patients after a lack of response to conservative treatment. The fistula closed in the third patient, to open again spontaneously 15 days later. It was controlled with conservative means and closed again 45 days later.
1986年11月至1988年5月期间，我们科室共进行了14例全膀胱切除术并同期行尿路改道手术。所采用的手术技术包括：7例Bricker术式、2例Camey术式、1例回盲部肠段代膀胱术、2例经皮输尿管造口术和2例输尿管皮肤造口术。观察到的并发症中有3例肠瘘，起初采用肠外营养和生长抑素进行保守治疗。所有3例均立即见效，瘘口排出量减少。2例患者在保守治疗无效后需要手术治疗。第3例患者的瘘口闭合，但15天后又自行开放。通过保守方法控制，45天后再次闭合。
