Faculty of Veterinary Medicine, Okayama University of Science, Imabari, Japan.
Vet Surg. 2022 Nov;51(8):1280-1286. doi: 10.1111/vsu.13865. Epub 2022 Jul 25.
To report the technique and outcome of a cat treated with a total cystectomy and bilateral cutaneous ureterostomy.
A 16-year-old male castrated domestic shorthair cat.
Case report.
A cat was referred after a 2-week history of pollakiuria and hematuria. Transitional cell carcinoma (TCC) was suspected based on ultrasonographic, cytologic, and contrast computed tomographic (CT) findings. A total cystectomy was combined with a modified cutaneous ureterostomy: the ureter, incised like a fish-mouth aperture, was anastomosed to the skin after the creation of a rectangular-shaped defect. Complete excision of a TCC was confirmed histologically.
Ureteral stents were removed 7 days (left) and 28 days (right) postoperatively. The cat's incontinence was managed with an absorbent diaper surrounding the ureteral stomata. The right ureter became obstructed 14 months after surgery, and the cat died at home approximately 16 months after surgery. In spite of the urinary incontinence, the owner was satisfied with the surgery and evaluated the cat's quality of life as satisfactory.
The total cystectomy and cutaneous ureterostomy described here allowed urinary excretion and resulted in long-term survival of a cat with bladder TCC.
报告一例接受全膀胱切除术和双侧皮肤输尿管造口术治疗的猫的技术和结果。
一只 16 岁雄性去势短毛家猫。
病例报告。
一只猫出现多尿和血尿 2 周后被转诊。根据超声、细胞学和对比增强 CT 检查结果，怀疑为移行细胞癌（TCC）。进行了全膀胱切除术，并结合改良的皮肤输尿管造口术：将切开的输尿管（呈鱼口状）吻合到皮肤后，在矩形缺陷处创建。组织学证实完全切除了 TCC。
术后 7 天（左侧）和 28 天（右侧）取出输尿管支架。通过在输尿管造口周围放置吸水性尿布来管理猫的失禁问题。术后 14 个月右侧输尿管发生阻塞，术后约 16 个月猫在家中死亡。尽管存在尿失禁，但主人对手术满意，并评估猫的生活质量为满意。
此处描述的全膀胱切除术和皮肤输尿管造口术允许尿液排泄，并使患有膀胱癌的猫长期存活。
