Lindell O
Ann Chir Gynaecol. 1986;75(4):229-35.
A series of 148 ileal conduit urinary diversions is described. In 127 patients (86%) the operation was done because of malignant neoplastic disease, whereas in 21 patients the underlying disease was benign. 77% of the patients had bladder carcinoma. Simultaneous cystectomy was performed in half of the cases. The mortality of the procedure was 9.5%. Postoperative complications occurred early in 36% and late in 49% of patients. Most of the complications could be treated conservatively but 25 patients required re-operation(s) for early and 35 for late complications. The treatment of patients with urinary leakage and the reason for the high incidence of upper urinary tract deterioration (50%) is discussed in detail.
本文描述了148例回肠代膀胱尿流改道术。127例患者(86%)因恶性肿瘤疾病接受该手术,而21例患者的基础疾病为良性。77%的患者患有膀胱癌。半数病例同时进行了膀胱切除术。该手术的死亡率为9.5%。36%的患者术后早期出现并发症,49%的患者术后晚期出现并发症。大多数并发症可保守治疗,但25例患者因早期并发症需要再次手术,35例患者因晚期并发症需要再次手术。详细讨论了尿漏患者的治疗以及上尿路恶化高发率(50%)的原因。