左回肠膀胱术：一例报告。
Left ileal conduit: A case report.
作者信息
Nakamura Kazuyoshi, Matsui Kenichiro, Wakai Ken, Sazuka Tomokazu, Imamura Yusuke, Sakamoto Shinichi, Sekita Nobuyuki, Ichikawa Tomohiko
机构信息
Department of Urology Chiba University Hospital Chiba Japan.
Department of Urology Funabashi Central Hospital Chiba Japan.
出版信息
IJU Case Rep. 2019 Dec 11;3(2):33-35. doi: 10.1002/iju5.12134. eCollection 2020 Mar.
INTRODUCTION
When ileal conduit construction is performed for urinary tract drainage during radical cystectomy, the conduit is usually constructed in the right lower abdomen. However, no reports have described ileal conduit construction in the left lower abdomen when it cannot be performed on the right side. In addition, some ingenuity is necessary for construction on the left.
CASE PRESENTATION
A 75-year-old woman visited our hospital with chief complaint of gross hematuria. Computed tomography and cystoscopy showed a huge bladder tumor, and blood analysis showed anemia. The patient was treated by radical cystectomy with ileal conduit construction. An ileal conduit was constructed in the left lower abdomen; it was impossible to construct in the right lower abdomen because of the abdominal wall scar hernia due to the past open surgery.
CONCLUSION
We herein reported a patient who underwent ileal conduit for urinary diversion on the left side of low abdominal wall.
引言
在根治性膀胱切除术中进行回肠膀胱术以引流尿路时，通常在右下腹构建管道。然而，尚无报告描述在右侧无法进行时在左下腹构建回肠膀胱术的情况。此外，在左侧进行构建需要一些技巧。
病例介绍
一名75岁女性因肉眼血尿为主诉前来我院就诊。计算机断层扫描和膀胱镜检查显示巨大膀胱肿瘤，血液分析显示贫血。该患者接受了根治性膀胱切除术并构建回肠膀胱术。在左下腹构建了回肠膀胱；由于既往开放手术导致腹壁瘢痕疝，无法在右下腹构建。
结论
我们在此报告了一名在左下腹壁进行回肠膀胱术以进行尿液转流的患者。
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