Przydacz Mikolaj, Corcos Jacques
Department of Urology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
Department of Urology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
Urology. 2018 May;115:14-20. doi: 10.1016/j.urology.2018.01.003. Epub 2018 Jan 31.
Ureterosigmoidostomy has largely been disregarded in recent times but has now seen a resurgence of interest because of its potential applicability to newer, minimally invasive surgical techniques. The advantages of ureterosigmoidostomy over intestinal conduits are urinary continence (obviating the need for stoma and external appliances), ease, and rapidity of performance as well as acceptance by patients. Ureterosigmoidostomy has been characterized by good continence outcomes and it offers good quality of life. Possible complications are anastomosis stenosis, coloureteral reflux, electrolyte imbalance, hydronephrosis, pyelonephritis, chronic renal failure, colorectal cancer, and others. Ureterosigmoidostomy is therefore only advisable for patients ready to accept long-term follow-up.
近年来，输尿管乙状结肠吻合术在很大程度上已被忽视，但由于其可能适用于更新的微创外科技术，现在又重新引起了人们的兴趣。输尿管乙状结肠吻合术相对于肠代输尿管术的优点是尿失禁（无需造口和外部装置）、操作简便快捷以及患者易于接受。输尿管乙状结肠吻合术的特点是尿失禁效果良好，并且能提供良好的生活质量。可能的并发症有吻合口狭窄、结肠输尿管反流、电解质失衡、肾积水、肾盂肾炎、慢性肾衰竭、结直肠癌等。因此，输尿管乙状结肠吻合术仅适用于愿意接受长期随访的患者。
