Pearce Shane M, Daneshmand Siamak
Department of Urology, USC/Norris Comprehensive Cancer Center, Institute of Urology, 1441 Eastlake Avenue, Suite 7416, Los Angeles, CA 90089, USA.
Department of Urology, USC/Norris Comprehensive Cancer Center, Institute of Urology, 1441 Eastlake Avenue, Suite 7416, Los Angeles, CA 90089, USA.
Urol Clin North Am. 2018 Feb;45(1):55-65. doi: 10.1016/j.ucl.2017.09.004.
Techniques in continent cutaneous urinary diversion (CCUD) have evolved significantly over the last 30 years resulting in several well-established procedures. CCUD is well suited for patients in whom the urethra cannot be used for orthotopic diversion due to preexisting incontinence, radiation damage, or malignancy. Reservoirs are constructed with adherence to basic principles of continent urinary diversion, including the use of detubularized bowel in a spherical conformation for pouch creation with either ileum or the right colon. The article reviews the history, patient selection, preoperative evaluation, surgical technique, and outcomes of CCUD.
在过去30年里，可控性皮肤造口尿流改道术（CCUD）技术有了显著发展，产生了几种成熟的术式。CCUD非常适合因既往存在尿失禁、放射损伤或恶性肿瘤而无法将尿道用于原位尿流改道的患者。储尿囊的构建遵循可控性尿流改道的基本原则，包括使用去管化的肠管呈球形结构，用回肠或右半结肠制作贮尿囊。本文综述了CCUD的历史、患者选择、术前评估、手术技术及治疗结果。
