根治性膀胱切除术后采用网片置入术进行腹腔镜盆腔器官脱垂修复术。
Laparoscopic pelvic organ prolapse repair by mesh interposition following radical cystectomy.
作者信息
Abe Hirokazu, Fan Bo, Huang Tingwen, Komori Hiroka, Ochi Atsuhiko, Suzuki Koichiro, Kitagawa Yasuhide, Shiga Naoki
机构信息
Department of Urology Kameda Medical Center Kamogawa Japan.
Department of Urology Komatsu Municipal Hospital Komatsu Japan.
出版信息
IJU Case Rep. 2019 Mar 20;2(3):121-123. doi: 10.1002/iju5.12055. eCollection 2019 May.
INTRODUCTION
The present study aims to introduce laparoscopic treatment by the interposition of polypropylene mesh for a pelvic organ prolapse in females following radical cystectomy for treating muscle-invasive bladder carcinoma.
CASE PRESENTATION
The patients included two women aged 77 and 79 years with symptomatic enterocele following radical cystectomy and ileal conduit urinary diversion. We performed laparoscopic sacrospinous colpopexy using polypropylene and polypropylene/ePTFE composite meshes.
CONCLUSION
No recurrent prolapse occurred during 26 and 14 months of follow-up after the operation. No severe perioperative complications were noted. This is a first report on cases of laparoscopic sacrospinous colpopexy for post-cystectomy pelvic organ prolapse. Our procedure could be safely performed in two patients with post-cystectomy pelvic organ prolapse.
引言
本研究旨在介绍通过置入聚丙烯网片对接受根治性膀胱切除术治疗肌层浸润性膀胱癌的女性盆腔器官脱垂进行腹腔镜治疗。
病例报告
患者为两名分别77岁和79岁的女性，在根治性膀胱切除术后和回肠代膀胱尿流改道后出现症状性小肠膨出。我们使用聚丙烯和聚丙烯/聚四氟乙烯复合网片进行了腹腔镜骶棘韧带阴道固定术。
结论
术后随访26个月和14个月期间未发生复发性脱垂。未观察到严重的围手术期并发症。这是关于腹腔镜骶棘韧带阴道固定术治疗膀胱切除术后盆腔器官脱垂病例的首例报告。我们的手术可以在两名膀胱切除术后盆腔器官脱垂患者中安全进行。
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