Ravi R, Dewan A K, Pandey K K
Cancer Institute (WIA), Adyar, Madras, India.
Br J Urol. 1994 Jan;73(1):51-4. doi: 10.1111/j.1464-410x.1994.tb07455.x.
To study the results of transverse colon conduit urinary diversion in patients receiving very high dose pelvic irradiation (> or = 65 Gy).
Records were reviewed for 30 such patients who underwent transverse colon conduit as a primary form of urinary diversion between January 1986 and June 1992. Most of the conduits were constructed using refluxing ureterocolic anastomoses with stents.
There was no operative mortality. Although the procedure was associated with a complication rate of 37% and a re-operation rate of 20%, there were no bowel or urinary anastomotic leaks. The operation could be safely performed on patients with renal failure, with 83% of such patients showing normal or improved serum creatinine levels post-operatively.
The advantages of transverse colon conduit urinary diversion are the use of non-irradiated bowel and ureters for diversion. We recommend it as a primary form of urinary diversion in these high risk cases.
研究接受超高剂量盆腔照射（≥65 Gy）患者行横结肠导管尿流改道术的结果。
回顾性分析1986年1月至1992年6月间30例行横结肠导管尿流改道术作为主要尿流改道方式的此类患者的记录。大多数导管采用带支架的反流输尿管结肠吻合术构建。
无手术死亡病例。尽管该手术的并发症发生率为37%，再次手术率为20%，但未出现肠道或尿路吻合口漏。该手术可安全地应用于肾衰竭患者，83%的此类患者术后血清肌酐水平正常或改善。
横结肠导管尿流改道术的优点是使用未受照射的肠道和输尿管进行改道。我们推荐将其作为这些高危病例的主要尿流改道方式。
