Gattegno B
Service d'urologie, Hôpital Tenon, Paris, France.
Cancer Radiother. 1998 Apr;2 Suppl 1:34s-38s.
Replacement of bladder after cystectomies avoids urinary diversion. It allows suboptimal natural miction, especially during the day. Current surgical techniques allow reconstruction of the bladder with detubulated ileal small bowel. This major procedure is achievable if the patient performance status is satisfactory and if urethra can be conserved. Bladder replacement is also feasible in women in selected cases. There is a need for long-term follow-up because of the risk of urological complications, especially ureteral stenosis and metabolic disorders.
膀胱切除术后进行膀胱替代可避免尿流改道。它能实现不太理想的自然排尿，尤其是在白天。目前的外科技术允许用去管化的回肠小肠重建膀胱。如果患者的身体状况良好且尿道能够保留，那么这种大型手术是可行的。在某些特定情况下，膀胱替代对女性也是可行的。由于存在泌尿系统并发症的风险，尤其是输尿管狭窄和代谢紊乱，因此需要进行长期随访。
