Montie J E, Pontes J E, Parulkar B G, Selby T
Department of Urology, Wayne State University, School of Medicine, Detroit, Michigan.
J Urol. 1994 May;151(5):1188-92. doi: 10.1016/s0022-5347(17)35210-2.
Orthotopic bladder replacement after total cystoprostatectomy for bladder cancer has gained broader use. Continent diversion has historically increased the complexity of the surgical procedure, often discouraging its adoption by many urologists. Absorbable staples on a GIA* instrument became available in 1992 and have been incorporated into reservoir formation in this preliminary study. A novel W-shaped ileal reservoir entirely fashioned from absorbable staples using the GIA and TA instruments has been developed and used in 15 patients undergoing cystoprostatectomy. The advantages of this technique are its simplicity and the speed with which the reservoir can be fashioned. In the first 15 patients operative time to construct the reservoir ranged from 12 to 21 minutes. Functional aspects of urodynamic studies and continence appear comparable to those of other ileal reservoirs. These preliminary data justify comparative trials on an expanded scale.
膀胱癌全膀胱前列腺切除术后原位膀胱替代术已得到更广泛的应用。从历史上看，可控性尿流改道增加了手术的复杂性，这常常阻碍许多泌尿科医生采用该方法。1992年，GIA*器械上的可吸收吻合钉问世，并已被纳入本初步研究中的储尿囊成形术。一种全新的W形回肠储尿囊已被开发出来，并应用于15例接受膀胱前列腺切除术的患者，该储尿囊完全使用GIA和TA器械通过可吸收吻合钉制成。该技术的优点是操作简单且能快速制成储尿囊。在前15例患者中，构建储尿囊的手术时间为12至21分钟。尿动力学研究和控尿功能方面似乎与其他回肠储尿囊相当。这些初步数据证明有必要进行更大规模的对比试验。
