Elmajian D A, Stein J P, Skinner D G
Department of Urology, University of Southern California, Los Angeles 90033, USA.
World J Urol. 1996;14(1):40-6. doi: 10.1007/BF01836343.
Orthotopic urinary diversion via the Kock ileal neobladder is the preferred form of bladder reconstruction in men and, now, in women undergoing cystectomy at the University of Southern California. Through June of 1993, 266 men were diverted in this fashion. There were 3 perioperative mortalities (1.1%); early complications occurred in 47 men (17.7%), whereas 35 (15.0%) experienced late complications. Approximately 85% of the men enjoy good or satisfactory continence day and night, with a large majority having a normal voiding pattern. Through May of 1993, 14 women were similarly diverted; 2 patients (14.2%) experienced early complications, whereas 1 patient (7.1%) had a late complication. The continence and voiding pattern appear to be even better in this small group of women as compared with the men. Orthotopic Kock continent urinary diversion yields an extraordinary functional result that can be accomplished with minimal complication and high patient satisfaction.
在南加州大学，对于接受膀胱切除术的男性以及现在的女性而言，经Kock回肠新膀胱进行原位尿流改道术是膀胱重建的首选方式。截至1993年6月，有266名男性接受了这种方式的尿流改道术。围手术期死亡3例（1.1%）；47名男性（17.7%）出现早期并发症，而35名（15.0%）经历了晚期并发症。约85%的男性日夜控尿良好或令人满意，绝大多数排尿模式正常。截至1993年5月，14名女性同样接受了尿流改道术；2例患者（14.2%）出现早期并发症，而1例患者（7.1%）出现晚期并发症。与男性相比，这一小群女性的控尿和排尿模式似乎更好。原位Kock可控性尿流改道术产生了非凡的功能效果，并发症极少，患者满意度高。
