Altuğ U, Uygur M C, Yaman I, Erol D
Urology Clinic of the Ministry of Health, Ankara Hospital, Turkey.
Tech Urol. 1997 Winter;3(4):209-12.
We describe our modification of Stanford pouch orthotopic bladder replacement both by formation of the pouch with absorbable staples (poly-GIA) and diverting it with the appendiceal Mitrofanoff conduit. This operation was performed on two patients with focal invasive bladder cancer--a male patient with bladder extrofia and a patient with a severely contracted bladder due to interstitial cystitis. No operative or postoperative complications were encountered. Follow-up after operation ranged between 6 and 16 months. The functional and cosmetic results of the operation were satisfactory. This operative modification may be considered for the patient requiring cystectomy who is not a candidate for orthotopic bladder replacement.
我们描述了对斯坦福回肠膀胱原位替代术的改良，包括用可吸收吻合器（聚-GIA）构建膀胱袋以及用阑尾Mitrofanoff导管进行尿液转流。该手术应用于两名局灶性浸润性膀胱癌患者，一名是膀胱外翻男性患者，另一名是因间质性膀胱炎导致膀胱严重挛缩的患者。术中及术后均未出现并发症。术后随访时间为6至16个月。手术的功能和美容效果令人满意。对于那些不适合原位膀胱替代术但需要膀胱切除术的患者，可以考虑这种手术改良方法。
