Bergman S M, Sears H F, Javadpour N
Urology. 1978 Jul;12(1):71-3. doi: 10.1016/0090-4295(78)90373-4.
Of 296 patients with pelvic malignancy and ileal urinary conduits, urinary tract calculi developed in 14. Calculi which ordinarily require surgical intervention because of their size may pass spontaneously in patients with ileoconduits because of the presence of a chronically dilated colllecting system and the surgical elimination of three of the four sites of stone impaction (pelvic brim, ureterovesical junction, and ureteral orifice). In 1 patient multiple calculi developed around the surgical staples used to create the proximal end of the ileal conduit. We recommend that autosuture with stapling devices not be used to create the proximal end of an ileal urinary conduit.
在296例患有盆腔恶性肿瘤并接受回肠代膀胱术的患者中，有14例出现了尿路结石。由于存在长期扩张的集合系统以及手术消除了结石嵌顿的四个部位中的三个（骨盆边缘、输尿管膀胱连接处和输尿管口），通常因大小需要手术干预的结石在回肠代膀胱术患者中可能会自行排出。在1例患者中，围绕用于创建回肠代膀胱近端的手术吻合钉形成了多发结石。我们建议不要使用吻合钉自动缝合装置来创建回肠代膀胱的近端。
