Barone Biagio, Napolitano Luigi, Reccia Pasquale, Calace Francesco Paolo, De Luca Luigi, Olivetta Michelangelo, Stizzo Marco, Rubinacci Andrea, Della Rosa Giampiero, Lecce Arturo, Romano Lorenzo, Sciorio Carmine, Spirito Lorenzo, Mattiello Gennaro, Vastarella Maria Giovanna, Papi Salvatore, Calogero Armando, Varlese Filippo, Tataru Octavian Sabin, Ferro Matteo, Del Biondo Dario, Napodano Giorgio, Vastarella Vincenzo, Lucarelli Giuseppe, Balsamo Raffaele, Fusco Ferdinando, Crocetto Felice, Amicuzi Ugo
Division of Urology, Department of Surgical Sciences, AORN Sant'Anna e San Sebastiano, 81100 Caserta, Italy.
Department of Neurosciences and Reproductive Sciences and Odontostomatology, University of Naples Federico II, 80131 Naples, Italy.
J Pers Med. 2024 Apr 8;14(4):392. doi: 10.3390/jpm14040392.
Bladder cancer ranks as the 10th most prevalent cancer globally with an increasing incidence. Radical cystectomy combined with urinary diversion represents the standard treatment for muscle-invasive bladder cancer, offering a range of techniques tailored to patient factors. Overall, urinary diversions are divided into non-continent and continent. Among the first category, cutaneous ureterostomy and ileal conduit represent the most common procedures while in the second category, it could be possible to describe another subclassification which includes ureterosigmoidostomy, continent diversions requiring catheterization and orthotopic voiding pouches and neobladders. In this comprehensive review, urinary diversions are described in their technical aspects, providing a summary of almost all alternatives to urinary diversion post-radical cystectomy.
膀胱癌是全球第10大常见癌症，其发病率呈上升趋势。根治性膀胱切除术联合尿流改道术是肌层浸润性膀胱癌的标准治疗方法，提供了一系列根据患者因素量身定制的技术。总体而言，尿流改道术分为非可控性和可控性两类。在第一类中，皮肤输尿管造口术和回肠代膀胱术是最常见的术式，而在第二类中，可以描述另一种亚分类，包括输尿管乙状结肠吻合术、需要插管的可控性尿流改道术以及原位排尿囊和新膀胱。在这篇综述中，从技术层面描述了尿流改道术，总结了根治性膀胱切除术后几乎所有的尿流改道替代方案。
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