Kamidono S, Oda Y, Hamami G, Hikosaka K, Kataoka N, Ishigami J
J Urol. 1985 Mar;133(3):391-4. doi: 10.1016/s0022-5347(17)48991-9.
From 1978 to 1982 bilateral ureterorectostomy and end-to-side sigmoidorectostomy were done following cystectomy for carcinoma of the bladder in 7 patients. No patient had recurrent pyelonephritis or ureterointestinal obstruction. Rectography showed the absence of rectoureteral reflux of contrast medium but rectosigmoid reflux appeared after injection of more than 150 ml. opaque solution. Adequate alkali therapy was performed in 2 patients with hyperchloremic acidosis. While there were some problems concerning the quality of urinary and fecal control achieved in our patients they were no worse than those of ordinary ureterosigmoidostomy. This operation might be recommended for patients in whom a collection appliance is unacceptable. However, before this surgical procedure can be performed the fact that the end result in terms of fecal urinary continence is unpredictable must be explained thoroughly to the patient.
1978年至1982年期间，7例膀胱癌患者在膀胱切除术后接受了双侧输尿管直肠吻合术和端侧乙状结肠直肠吻合术。没有患者出现复发性肾盂肾炎或输尿管肠道梗阻。直肠造影显示没有造影剂直肠输尿管反流，但注入超过150毫升不透明溶液后出现直肠乙状结肠反流。2例高氯性酸中毒患者进行了充分的碱治疗。虽然我们的患者在排尿和排便控制质量方面存在一些问题，但并不比普通输尿管乙状结肠吻合术的患者差。对于那些不能接受集尿装置的患者，可能推荐这种手术。然而，在进行这种手术之前，必须向患者充分解释粪便和尿液失禁方面的最终结果是不可预测的这一事实。
