Gotsadze D, Charkviani L, Nemsadze G, Tsintsadze I, Pirtskhalaishvili G
Georgian Oncologic Research Centre, Tbilisi.
Eur J Gynaecol Oncol. 1994;15(5):369-71.
The problem of urinary diversion is of major importance in patients requiring pelvic exenteration for advanced gynaecological malignancies. Eight patients underwent pelvic exenteration (4-total and 4-anterior) at the Georgian Oncologic Centre, 7 of them for recurrent cervical carcinoma after combined treatment and 1--for primary advanced cervical carcinoma. The original surgical technique for construction of detubalarized ileal reservoir with continent umbilical stoma (Gotsadze Pouch) is described. Six patients underwent this type of urinary diversion with successful results. Urination is patient-controlled via self-catheterization every 5 to 6 hours. The results obtained by operation can be considered as optimal for their functional and rehabilitational properties.
对于因晚期妇科恶性肿瘤而行盆腔脏器清除术的患者，尿流改道问题至关重要。在格鲁吉亚肿瘤中心，8例患者接受了盆腔脏器清除术（4例全盆腔脏器清除术和4例前盆腔脏器清除术），其中7例为综合治疗后复发的宫颈癌患者，1例为原发性晚期宫颈癌患者。本文描述了构建去管化回肠储尿囊并带可控脐部造口（戈察泽袋）的原始手术技术。6例患者接受了此类尿流改道手术，效果良好。患者通过每5至6小时自行导尿来控制排尿。从功能和康复特性方面来看，手术取得的结果可被视为最佳。
