Rutishauser G, Dürig M, Leibundgut B, Evard P, Graber P
Eur Urol. 1977;3(2):57-61. doi: 10.1159/000472059.
Report on 12 adult bladder tumor patients with cystectomy, rectal bladder and dorsolateral, intrasphincteric pull through of the sigmoid and anal colostomy (Nédélec type). Voluntary control of feces and urine was found satisfactory by most patients although urinary continence at night was not perfect. The long-term prognosis with this form of urinary diversion in patients with bladder cancer was far from satisfactory: 4 patients died of recurrent carcinoma with terminal symptoms of sepsis, but 5 patients died from primary sepsis (and not cancer) from 3 months to 4 years after diversion. It seems that this bad prognosis was due to insufficient separation of urinary and fecal passage in a group of patients, where the upper urinary tract has often already suffered as the result of earlier tumor treatment. Fewer complications might be expected with an intersphincteric pull through and perineal colostomy (Gersuny type).
关于12例接受膀胱切除术、直肠膀胱术以及乙状结肠和肛门结肠括约肌内拖出术（内德莱克型）的成年膀胱肿瘤患者的报告。大多数患者对粪便和尿液的自主控制情况令人满意，尽管夜间尿失禁情况并不理想。这种膀胱癌患者尿液改道形式的长期预后远不尽人意：4例患者死于复发性癌并伴有败血症终末期症状，但5例患者在改道后3个月至4年死于原发性败血症（而非癌症）。似乎这种不良预后是由于一组患者中尿路与粪便通道分离不充分，其中上尿路往往已因早期肿瘤治疗而受损。括约肌内拖出术和会阴结肠造口术（格森尼型）可能会减少并发症。
