Schmidt J D, Buchsbaum H J, Jacobo E C
Urology. 1976 Dec;8(6):542-6. doi: 10.1016/0090-4295(76)90514-8.
Twenty-two patients with extensive pelvic irradiation underwent supravesical urinary diversion using a transverse colon conduit. Primary diseases were most often carcinoma of the cervix and urinary bladder. Indications for diversion included original treatment planning, radiation cystitis, vesicovaginal fistula, and ureteral obstruction. Operative mortality was low (4 per cent), and most complications were managed by further surgery. Normal upper urinary tracts usually remained normal after diversion; relief of existing hydroureteronephrosis was seen in a majority of patients. Stomal problems have been minimal, and renal function has remained normal or stable. The method affords the use of nonirradiated transverse colon as well as the ureter high above the field of pelvic irradiation and is the preferred diversion in such patients.
22例接受广泛盆腔放疗的患者采用横结肠导管进行膀胱上尿路改道。原发性疾病最常见的是宫颈癌和膀胱癌。改道的指征包括原治疗计划、放射性膀胱炎、膀胱阴道瘘和输尿管梗阻。手术死亡率较低（4%），大多数并发症通过进一步手术处理。改道后正常的上尿路通常保持正常；大多数患者现有的输尿管肾盂积水得到缓解。造口问题极少，肾功能保持正常或稳定。该方法可利用未受照射的横结肠以及盆腔照射野上方较高位置的输尿管，是这类患者首选的改道方式。
