Borkowski A, Krzeski T, Kazoń M, Gajl D, Niemierko M, Rachwał-Sochacka L, Borówka A, Zachwiej M, Miecznikowski A
Int Urol Nephrol. 1981;13(4):363-9. doi: 10.1007/BF02081937.
The authors assessed the results of supracystic urine diversion in 50 patients treated by cystectomy for bladder carcinoma who had "short radiotherapy" (2000 R) before the operation. It was found that preoperative radiotherapy caused no difficulties during subsequent cystectomy and the observed postoperative complications should be related rather to the surgical technique. It seems that indications to urine diversion by the method of Goodwin or Coffey should be considered with greater caution. In patients past the age of 65 years and those with more advanced neoplasms (T-3, T-4) bilateral ureterocutaneostomy should be performed more frequently for suprapubic urine diversion.
作者评估了50例因膀胱癌接受膀胱切除术且术前接受“短程放疗”（2000拉德）的患者行膀胱上尿液改道的结果。发现术前放疗在随后的膀胱切除术中未造成困难，观察到的术后并发症更多应与手术技术相关。似乎采用古德温或科菲方法进行尿液改道的指征应更谨慎地考虑。对于65岁以上的患者以及肿瘤分期较晚（T-3、T-4）的患者，耻骨上尿液改道时应更频繁地进行双侧输尿管皮肤造口术。
