Goodwin W E, Scardino P T
J Urol. 1977 Jul;118(1 Pt 2):169-74. doi: 10.1016/s0022-5347(17)57938-0.
Some historical aspects of ureterosigmoidostomy are described, and various techniques are discussed and illustrated. Our own satisfaction with the results when the procedure is done through the open sigmoid colon is expressed. Ureterosigmoidostomy, which has in some surgeons' hands fallen into disuse, will continue to be used and probably should be used more than it is at present. When ureterosigmoidostomy is done meticulous care is important in producing a long submucosal tunnel with direct anastomosis of the ureter to the bowel. Preoperative bowel preparation is mandatory. Patients who have undergone ureterosigmoidostomy should remain on a low chloride diet indefinitely with an adequate supplement of sodium potassium citrate to diminish the dangers of electrolyte imbalance and hyperchloremic acidosis. Careful postoperative management and followup care are vital to success.
本文描述了输尿管乙状结肠吻合术的一些历史方面，并讨论和说明了各种技术。表达了我们自己对通过开放乙状结肠进行该手术时结果的满意度。输尿管乙状结肠吻合术在一些外科医生手中已不再使用，但将继续被使用，而且可能应该比目前使用得更多。进行输尿管乙状结肠吻合术时，精心护理对于形成长的黏膜下隧道并将输尿管直接吻合到肠道很重要。术前肠道准备是必需的。接受输尿管乙状结肠吻合术的患者应无限期保持低氯饮食，并充分补充柠檬酸钾钠，以降低电解质失衡和高氯性酸中毒的风险。术后仔细管理和随访护理对成功至关重要。
