Levy O M, Phillips M H, Aigen A, Kwart A M
Department of Urology, George Washington University Medical Center, Washington, D.C.
Urology. 1988 Dec;32(6):492-7. doi: 10.1016/s0090-4295(98)90027-9.
Bladder replacement after radical cystectomy offers the cancer patient the possibility of restoration to a functional level not possible with the standard means of urinary diversion. Herein we present our experience using a detubularized right colonic segment to create functional reservoirs in 2 male patients and a continent reservoir in a female patient. Cystometric analysis reveals capacious reservoirs, low basal pressures, and a tendency toward pressure spikes at higher filling volumes. All 3 patients are continent at volumes up to 400 cc with preservation of the upper urinary tracts and the absence of reflux. We believe the simplicity of this technique and the encouraging results will contribute to more widespread application of continent and functional reservoirs.
根治性膀胱切除术后的膀胱替代为癌症患者提供了恢复到采用标准尿流改道方法无法达到的功能水平的可能性。在此，我们介绍我们使用去管状化右结肠段为2例男性患者创建功能性贮尿囊以及为1例女性患者创建可控性贮尿囊的经验。膀胱测压分析显示贮尿囊容量大、基础压力低，且在较高充盈量时存在压力峰值倾向。所有3例患者在贮尿囊容量达400 cc时均可实现可控排尿，上尿路得以保留且无反流。我们认为该技术的简易性及令人鼓舞的结果将有助于可控性和功能性贮尿囊得到更广泛的应用。
