Yajima Shugo, Nakanishi Yasukazu, Matsumoto Shunya, Tanabe Kenji, Masuda Hitoshi
National Cancer Center Hospital East, Chiba, Japan.
Urol Case Rep. 2021 Jan 11;36:101566. doi: 10.1016/j.eucr.2021.101566. eCollection 2021 May.
Robot-assisted radical cystectomy with or without intracorporeal urinary diversion has recently been explored as a viable surgical option for multiple, recurrent and muscle invasive bladder cancer. In this report, an 84-year-old female diagnosed as having invasive bladder cancer underwent robot-assisted radical cystectomy with intracorporeal cutaneous ureterostomy: in the third postoperative day, computed tomography of the abdomen was suggestive of incarcerated hernia through the abdominal wall defect created by the left ureterostomy. Subsequently, the parastomal hernia was repaired laparoscopically. To the best of our knowledge, this is the first report of a symptomatic parastomal hernia related to the cutaneous ureterostomy.
机器人辅助根治性膀胱切除术联合或不联合体内尿流改道术，最近已被探索作为治疗多发性、复发性和肌层浸润性膀胱癌的一种可行手术选择。在本报告中，一名84岁被诊断为浸润性膀胱癌的女性接受了机器人辅助根治性膀胱切除术及体内皮肤输尿管造口术：术后第三天，腹部计算机断层扫描提示通过左输尿管造口造成的腹壁缺损发生了嵌顿疝。随后，通过腹腔镜修复了造口旁疝。据我们所知，这是首例与皮肤输尿管造口相关的有症状造口旁疝的报告。
