Cain M P, Casale A J, Rink R C
James Whitcomb Riley Hospital for Children, Indiana University Medical Center, Indianapolis 46202, USA.
Urology. 1998 Nov;52(5):870-3. doi: 10.1016/s0090-4295(98)00301-x.
To present a review of our experience using the recently described Monti ileovesicostomy as an alternative to appendicovesicostomy as a continent catheterizable stoma in children.
Between January and December 1997, a Monti ileovesicostomy was performed as part of a reconstructive procedure in 13 children. Mean patient age was 1 1 years, and diagnosis included neurogenic bladder in 11 patients, cloacal exstrophy in 1, and cloacal anomaly in 1 patient. Simultaneous bladder augmentation was performed in 10 children, bladder neck reconstruction or closure in 7, and Malone antegrade continent enema (MACE) in 4.
All 13 patients have continent stomas (100%) and catheterize the Monti ileovesicostomy without difficulty. Mean follow-up was 7 months (range 1 to 14), and there have been no stomal problems or postoperative complications attributed to the ileal channel.
The Monti ileovesicostomy is a new technique for creation of a continent catheterizable stoma and has allowed preservation of the appendix for the MACE procedure, providing an additional option in patients with an absent or inadequate appendix. Early results of this technique for pediatric reconstruction have been excellent.
回顾我们使用最近描述的蒙蒂回肠膀胱造口术作为儿童可控性造口替代阑尾膀胱造口术的经验。
1997年1月至12月期间，13名儿童接受了蒙蒂回肠膀胱造口术作为重建手术的一部分。患者平均年龄为11岁，诊断包括11例神经源性膀胱、1例泄殖腔外翻和1例泄殖腔畸形。10名儿童同时进行了膀胱扩大术，7名进行了膀胱颈重建或闭合术，4名进行了马龙顺行可控灌肠术（MACE）。
所有13例患者均有可控性造口（100%），且能顺利通过蒙蒂回肠膀胱造口进行导尿。平均随访7个月（范围1至14个月），未出现造口问题或与回肠通道相关的术后并发症。
蒙蒂回肠膀胱造口术是一种创建可控性造口的新技术，保留了阑尾用于MACE手术，为阑尾缺失或不足的患者提供了另一种选择。该技术用于小儿重建的早期结果非常好。
