Lent V
Department of Urology, St.-Nikolaus-Stiftshospital, Bonn University Academic Teaching Hospital, Andernach, FRG.
Eur Urol. 1993;24(2):208-13.
Despite the most recently available means of creating transitory and palliative diversionary conduits via percutaneous nephrostomy and avoiding definitive conduits by means of intestinal bladder substitutes, alternative supravesical conduits remain topical. This is the case on the one hand when nephrostomy is not desired or tolerated and on the other hand when the general and local prerequisites for vesical bladder replacement are absent. For these cases, transureteropyeloureterocutaneostomy is available as a new modification. In this method, both kidneys are drained with a single cutaneous stoma without intestinal connection via an intubated ureter (as a ureteral conduit). The results of 3 years of experience in 23 patients are communicated.
尽管目前可通过经皮肾造瘘术建立暂时和姑息性转流导管，并借助肠道膀胱替代物避免进行确定性导管手术，但替代的膀胱上导管仍然是热门话题。一方面，当不需要或无法耐受肾造瘘术时；另一方面，当缺乏膀胱替代的全身和局部条件时，情况就是如此。对于这些情况，可采用一种新的改良术式——经输尿管肾盂输尿管皮肤造口术。在这种方法中，通过插管的输尿管（作为输尿管导管），用单个皮肤造口引流双肾，且无需肠道连接。本文报告了23例患者3年的经验结果。
