Novak R
Eur Urol. 1981;7(2):118-20. doi: 10.1159/000473195.
Ureteroileosigmoidostomy is recommended for supravesical urinary diversion after cystectomy. Wallace's method for the ileal conduit with a terminal nipple is employed, but the ileal segment is anastomosed to the rectosigmoid instead of the abdominal wall. In this way, the nipple on the distal end of the ileal segment protrudes into the lumen of the large bowel rather than into the abdominal wall, preventing therefore sigmoidoilal reflux. Radical cystectomy has been supplemented with this procedure for urinary diversion in 29 patients with bladder carcinoma.
膀胱切除术后，推荐采用输尿管回肠乙状结肠吻合术进行膀胱上尿路改道。采用华莱士法制作带终末乳头的回肠导管，但回肠段与直肠乙状结肠吻合，而非与腹壁吻合。这样，回肠段远端的乳头突入大肠管腔而非腹壁，从而防止乙状结肠回肠反流。29例膀胱癌患者在根治性膀胱切除术后采用了该手术进行尿路改道。
