Sasaki Yutaro, Shiozaki Keito, Nakanishi Ryoichi, Izaki Hirofumi, Kanda Kazuya
Department of Urology, Tokushima Prefectural Central Hospital.
Nihon Hinyokika Gakkai Zasshi. 2019;110(3):211-214. doi: 10.5980/jpnjurol.110.211.
The complications of ileal conduit urinary diversion were reported to be urinary tract infections, bowel obstruction, and delayed wound healing, but ileal conduit-enteric fistula is rare. We report a case of ileal conduit-enteric fistula after robotic intracorporeal ileal conduit urinary diversion. An 81-year-old man with muscle-invasive bladder cancer underwent robot-assisted radical cystectomy and intracorporeal ileal conduit urinary diversion. Twenty-two days after the surgery, we identified the presence of fecaluria. Loopography revealed an ileal conduit-enteric fistula. He underwent conservative treatment with fasting and intravenous hyperalimentation. Loopography was performed 48 days after the surgery. However, the fistula remained. Therefore, fistula closure surgery was performed 51 days after the surgery. Here we review the characteristics of 4 ileal conduit-enteric fistula cases reported in Japan.
据报道，回肠代膀胱术的并发症包括尿路感染、肠梗阻和伤口愈合延迟，但回肠代膀胱-肠瘘很少见。我们报告一例机器人辅助体内回肠代膀胱术后发生回肠代膀胱-肠瘘的病例。一名81岁的肌层浸润性膀胱癌男性患者接受了机器人辅助根治性膀胱切除术和体内回肠代膀胱术。术后22天，我们发现患者存在粪尿。钡剂灌肠造影显示回肠代膀胱-肠瘘。他接受了禁食和静脉高营养的保守治疗。术后48天进行了钡剂灌肠造影。然而，瘘管仍然存在。因此，在术后51天进行了瘘管闭合手术。在此，我们回顾了日本报道的4例回肠代膀胱-肠瘘病例的特点。
