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一期根治性膀胱切除术及回肠膀胱术的并发症

Complications of single-stage radical cystectomy and ileal conduit.

作者信息

Bracken R B, McDonald M, Johnson D E

出版信息

Urology. 1981 Feb;17(2):141-6. doi: 10.1016/0090-4295(81)90222-3.

Abstract

Single-stage radical cystectomy without pelvic lymphadenectomy and ileal conduit urinary diversion was performed on 241 consecutive patients over a three and one-half-year period. Operative mortality rate was 2.5%; early and late complications occurred in 32 and 34% of patients, respectively. In general, complications were less severe than in the past. Wound complications remain a major source of morbidity, but wound disruption and anastomotic leaks have been virtually eliminated.

摘要

在三年半的时间里,对241例连续患者实施了不进行盆腔淋巴结清扫的单阶段根治性膀胱切除术及回肠导管尿流改道术。手术死亡率为2.5%;早期和晚期并发症分别发生在32%和34%的患者中。总体而言,并发症比过去较轻。伤口并发症仍然是发病的主要来源,但伤口裂开和吻合口漏几乎已被消除。

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