Sitdykov E N, Sitdykova M E, Zubkov A Iu, Rumiantsev Iu V
Urol Nefrol (Mosk). 1993 Mar-Apr(2):31-4.
Basing on the long-term experience in radical surgery of 252 patients with invasive bladder cancer, the authors come to the conclusion that the establishment of intestinal bladder with postcystectomy recovery of physiological uresis is the most proper therapeutic approach. Extra- or intraperitoneal position of the transplant was decided upon regarding the type and stage of cystectomy and prior methods of derivation. The techniques of one- and multistage operations are presented. Clinical practice evidences that more rapid recovery of urethral uresis can be obtained with application of primary continuous suture of artificial intestinal bladder (ideal enterocystoplasty) at the end of the surgery. Urodynamic low urinary tract findings are provided. The technique developed by the authors offers new surgical opportunity for bladder cancer patients following cystectomy.
基于对252例浸润性膀胱癌患者进行根治性手术的长期经验，作者得出结论，膀胱切除术后建立能恢复生理性排尿的肠道膀胱是最合适的治疗方法。根据膀胱切除术的类型和分期以及先前的引流方法来决定移植肠段置于腹膜外或腹膜内的位置。介绍了一期和多期手术的技术。临床实践证明，在手术结束时应用人工肠道膀胱的一期连续缝合（理想的回肠膀胱术）可使尿道排尿更快恢复。提供了尿动力学下尿路检查结果。作者开发的技术为膀胱癌患者膀胱切除术后提供了新的手术选择。
