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良性和恶性膀胱疾病行单纯或根治性膀胱切除术后的胃小囊。

Gastric pouch after simple or radical cystectomy for benign and malignant bladder disease.

作者信息

Shamsa Ali

机构信息

Mashhad University of Medical Sciences, Mashhad, IR Iran.

出版信息

Nephrourol Mon. 2014 Nov 11;6(6):e17890. doi: 10.5812/numonthly.17890. eCollection 2014 Nov.

Abstract

BACKGROUND

There is a controversy regarding the use of gastric pouch for benign and malignant bladder diseases.

OBJECTIVES

The aim of this retrospective study was to report our experience, mostly on gastric neobladder (not gastrocystoplasty) for benign and malignant bladder diseases, its complications, outcomes and follow-up results.

MATERIALS AND METHODS

In this retrospective case series, we described our experience on seven gastric pouches (2 gastrocystoplasty and 5 gastric neobladders).

RESULTS

Postoperative complications were rare. Continence was defined as bladder capacity over 400 mL. Their follow-up period ranged from five months up to writing the article. One of the studied cases is still alive and awaiting renal transplantation.

CONCLUSIONS

Gastric pouch is a suitable segment for bladder cystoplasty and neobladder. Continence is mostly related to the capacity of pouch.

摘要

背景

对于胃代膀胱术用于良性和恶性膀胱疾病存在争议。

目的

本回顾性研究的目的是报告我们的经验,主要是关于胃新膀胱术(而非胃膀胱扩大术)治疗良性和恶性膀胱疾病、其并发症、结果及随访结果。

材料与方法

在这个回顾性病例系列中,我们描述了7例胃代膀胱术(2例胃膀胱扩大术和5例胃新膀胱术)的经验。

结果

术后并发症罕见。控尿定义为膀胱容量超过400毫升。他们的随访期从5个月至撰写本文时。其中1例研究病例仍存活并等待肾移植。

结论

胃代膀胱是膀胱扩大术和新膀胱术的合适节段。控尿主要与代膀胱容量有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/019b/4330674/cc3e909c27d9/num-06-06-17890-g001.jpg

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