Pak K, Hayashida H, Takayama H, Tomoyoshi T
Hinyokika Kiyo. 1986 Jul;32(7):1041-4.
A 73-year-old man, who underwent bilateral cutaneous ureterostomy following total cystectomy due to tumor, was admitted because he had been suffering from complications, such as pyelonephritic attacks, plugging and removal of the indwelling catheters and pain around the stoma. In order to relieve these complications, ileal conduit construction was performed although the length of ureters was thought to be short for ureteroileostomy. However, it was done easily by making ileal segment twice as long as usual and this conduit neither disturbed the serum electrolyte levels nor deteriorated renal function. Re-diversion to ileal conduit resulted not only in relief from the complications associated with cutaneous ureterostomy but also in improvement of the quality of life for the patient.
一名73岁男性，因肿瘤行全膀胱切除术后接受了双侧皮肤输尿管造口术，因出现肾盂肾炎发作、留置导管堵塞与拔除以及造口周围疼痛等并发症而入院。为缓解这些并发症，尽管认为输尿管长度对于输尿管回肠造口术来说较短，但仍进行了回肠代膀胱术。然而，通过将回肠段长度增加至通常的两倍，手术得以轻松完成，且该导管既未干扰血清电解质水平，也未使肾功能恶化。改回肠代膀胱术不仅缓解了与皮肤输尿管造口术相关的并发症，还改善了患者的生活质量。
