Kirsch A J, Hensle T W, Olsson C A
Department of Urology, Squier Urological Clinic, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA.
World J Urol. 1996;14(2):117-21. doi: 10.1007/BF00182569.
The principle of bowel detubularization to decrease peristaltic pressure and increase reservoir capacity is applied in contemporary continent urinary diversions. The process of detubularization and refashioning of the spatulated bowel segment approximates 1 of operating time and is the most time-consuming aspect of pouch construction. The employment of devices applying absorbable staples ("absorbable staplers") has substantially reduced the time required to fashion bowel reservoirs. This article reviews the adaptation of the absorbable stapler to continent urinary diversion using small- and large-bowel segments.
肠道去管化以降低蠕动压力并增加储尿囊容量的原则被应用于当代可控性尿流改道术。去管化和将肠道做成勺状段的重塑过程约占手术时间的1/3，并且是构建储尿囊最耗时的方面。使用可吸收吻合器的设备（“可吸收吻合器”）已大幅减少了构建肠道储尿囊所需的时间。本文回顾了可吸收吻合器在使用小肠和大肠段进行可控性尿流改道中的应用。
