Donnard G, Dumotier J, Le Dantec P, Suppini A, Quinot J F
Département d'Anesthésie-Réanimation (Pr Quinot), HIA Sainte-Anne, Toulon-Naval.
Cah Anesthesiol. 1996;44(2):149-51.
Ureterosigmoidostomy (USS) for bladder cancer is an attractive surgical technique for the improved quality of life provided to the patient, notably from a preserved body image. Complications, however, can jeopardize this result. We report the case of a woman who developed an hyperammonemic encephalopathy after USS "Mainz pouch II". We discuss the indication of a liver needle biopsy before USS when hepatic functions are abnormal and we stress the importance of regular "rectal exonerations" during the day.
用于膀胱癌的输尿管乙状结肠吻合术（USS）是一种颇具吸引力的外科技术，因为它能显著提高患者的生活质量，尤其是有助于保持身体形象。然而，并发症可能会危及这一效果。我们报告了一例在进行“美因茨Ⅱ型贮袋”输尿管乙状结肠吻合术后发生高氨血症性脑病的女性病例。我们讨论了肝功能异常时在输尿管乙状结肠吻合术前进行肝穿刺活检的指征，并强调了日间定期“直肠减压”的重要性。
