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ileal orthotopic
相关语句
  原位回肠
    The modified technique of total cystectomy and ileal orthotopic neobladder for bladder tumor(Report of 12 cases)
    改良全膀胱切除原位回肠新膀胱术治疗膀胱癌的临床疗效(附12例报告)
短句来源
    Laparoscopic Cystoprostatectomy and Ileal Orthotopic Neobladder
    腹腔镜下膀胱前列腺全切除-原位回肠新膀胱术初步报告
短句来源
    A modified ileal orthotopic neobladder (Report of 17 cases)
    改良膀胱全切、原位回肠代膀胱术的疗效观察
短句来源
    Objective] To report the method of laparoscopic radical cystoprostatectomy and ileal orthotopic neobladder.
    【目的】探讨腹腔镜下膀胱前列腺全切除-原位回肠新膀胱手术方法。
短句来源
    Purpose:To evaluate the modified technique of total cystectomy and the clinical effect of ileal orthotopic neobladder for bladder tumor.
    目的 :评价改良全膀胱切除方法和原位回肠新膀胱术的临床疗效。
短句来源
  回肠
    The modified technique of total cystectomy and ileal orthotopic neobladder for bladder tumor(Report of 12 cases)
    改良全膀胱切除原位回肠新膀胱术治疗膀胱癌的临床疗效(附12例报告)
短句来源
    Radical cystectomy with ileal orthotopic neobladder:report of 15 cases
    膀胱全切回肠原位代膀胱15例疗效观察
短句来源
    Laparoscopic Cystoprostatectomy and Ileal Orthotopic Neobladder
    腹腔镜下膀胱前列腺全切除-原位回肠新膀胱术初步报告
短句来源
    A modified ileal orthotopic neobladder (Report of 17 cases)
    改良膀胱全切、原位回肠代膀胱术的疗效观察
短句来源
    Objective] To report the method of laparoscopic radical cystoprostatectomy and ileal orthotopic neobladder.
    【目的】探讨腹腔镜下膀胱前列腺全切除-原位回肠新膀胱手术方法。
短句来源
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  ileal orthotopic
We report 8 female patients with ileal orthotopic neobladders after cystectomy.
      
Ileal orthotopic neobladder in women: The first experiences from Turkey and our modifications
      
Dilatation of the upper urinary tract after ileal orthotopic bladder substitution is a frequent finding on the 5-min, 20-min, and 60-min films during the early postoperative period but is found only on the 20-min film 1 year and later after surgery.
      
Intravenous urograms (IVUs) performed preoperatively and at regular intervals postoperatively on 87 long-term survivors (minimum survival, 5 years) following ileal orthotopic bladder substitution were reviewed.
      
The aim of this study was to evaluate the appearance of the upper urinary tract following cystectomy and ileal orthotopic bladder substitution.
      
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Objective] To report the method of laparoscopic radical cystoprostatectomy and ileal orthotopic neobladder. 4 males aged 52 to 65 years with bladder carcinoma underwent surgery from December 2002 to March 2003. Laparoscopic cysto prostatectomy was performed through 5 trocars and reconstruction of neobladder was performed through a small incision. With the technique of Montsouris, the ampullae of vas deferens, seminal vesicles, posterior aspect of prostate were divided, and ureters were dissected outside...

Objective] To report the method of laparoscopic radical cystoprostatectomy and ileal orthotopic neobladder. 4 males aged 52 to 65 years with bladder carcinoma underwent surgery from December 2002 to March 2003. Laparoscopic cysto prostatectomy was performed through 5 trocars and reconstruction of neobladder was performed through a small incision. With the technique of Montsouris, the ampullae of vas deferens, seminal vesicles, posterior aspect of prostate were divided, and ureters were dissected outside the bladder after clips. And then, anterial aspect of bladder and prostate were exposed. The endopelvic fascias and puboprostatic ligaments were separated bilaterally. The vesical and prostatic fibrovascular pedicles were coagulated and separated with harmonic scalpel. The dorsal vein complex was suture ligated and separated. The urethra was transected close to the prostate apex. A 6 cm suprapubic symphysis incision was made to remove the surgical specimens and construction of neobladder was performed. A 50 cm ileal loop was extracted from the abdominal cavity, isolated, detubularized and reconfigured into " M" shape pouch with running suture. The anti reflux ureter implantation was performed by means of inserting the 1 cm of distal ureter into the pouch and fixing with 4 to 6 suture. The urethra neobaldder anastomosis was completed with 6 absorbable sutures. The mean operative time was 8 hours. The mean blood loss was 650 mL. All patients could control urine on day and at night within one month after operation. The capacity of neobladder was about 300 mL. The intravenous urography and retrograde cystography in 3 weeks after operation showed no evidences of ureteric reflux, ureteral obstruction, and well filling neobladder without leakage.[ Conclusion] The procedure combines the advantages of minimally invasive laparoscopy with the speed and safety of open surgery. Ileal neobladder is suitable for construction through a small incision.

【目的】探讨腹腔镜下膀胱前列腺全切除-原位回肠新膀胱手术方法。【方法】为4例52~65岁男性膀胱癌患者施行了手术。采用5个套管针,腹腔镜由脐上或脐下套管针进入,手术者经左侧2个套管针操作,助手经右侧2个套管针操作。游离输精管、精囊,剪开狄氏筋膜分离前列腺后面;游离输尿管下段在其末端切断;剪开前腹壁腹膜反折,游离膀胱前壁;缝扎阴茎背深静脉复合体;游离膀胱侧韧带及前列腺侧韧带;在结扎线近端剪断阴茎背深静脉复合体,紧贴前列腺尖端离断尿道;下腹正中耻骨上作6cm切口,取出切除的膀胱前列腺,将回肠拉出切口外,隔离50cm回肠剖开后“M”形折叠形成贮尿囊,将输尿管末段1cm插入贮尿囊后顶部作吻合,贮尿囊最低位开口与尿道断端6针吻合。【结果】手术时间平均约为8h,出血量平均为650mL。术后3周作腹部平片、静脉尿路造影,以及新膀胱造影检查,显示:新膀胱充盈良好,容量约300mL,无输尿管返流及梗阻,所有患者术后1个月内恢复控尿功能。无排尿困难及残余尿。【结论】腹腔镜下切除膀胱前列腺视野清楚,可减少出血,避免尿道括约肌损伤,保留神经血管束;可减少肠管暴露时间,有利用术后肠道功能恢复,减少肠粘连。作一小切口取出膀胱前列腺,并将...

【目的】探讨腹腔镜下膀胱前列腺全切除-原位回肠新膀胱手术方法。【方法】为4例52~65岁男性膀胱癌患者施行了手术。采用5个套管针,腹腔镜由脐上或脐下套管针进入,手术者经左侧2个套管针操作,助手经右侧2个套管针操作。游离输精管、精囊,剪开狄氏筋膜分离前列腺后面;游离输尿管下段在其末端切断;剪开前腹壁腹膜反折,游离膀胱前壁;缝扎阴茎背深静脉复合体;游离膀胱侧韧带及前列腺侧韧带;在结扎线近端剪断阴茎背深静脉复合体,紧贴前列腺尖端离断尿道;下腹正中耻骨上作6cm切口,取出切除的膀胱前列腺,将回肠拉出切口外,隔离50cm回肠剖开后“M”形折叠形成贮尿囊,将输尿管末段1cm插入贮尿囊后顶部作吻合,贮尿囊最低位开口与尿道断端6针吻合。【结果】手术时间平均约为8h,出血量平均为650mL。术后3周作腹部平片、静脉尿路造影,以及新膀胱造影检查,显示:新膀胱充盈良好,容量约300mL,无输尿管返流及梗阻,所有患者术后1个月内恢复控尿功能。无排尿困难及残余尿。【结论】腹腔镜下切除膀胱前列腺视野清楚,可减少出血,避免尿道括约肌损伤,保留神经血管束;可减少肠管暴露时间,有利用术后肠道功能恢复,减少肠粘连。作一小切口取出膀胱前列腺,并将肠管拉出体外形成贮尿囊,可大大缩减手术时间。回肠作贮尿囊有取材容易

Purpose:To evaluate the modified technique of total cystectomy and the clinical effect of ileal orthotopic neobladder for bladder tumor.Methods:A modified technique of total cystectomy was carried out in 12 patients with bladder tumor. The dome, bilateral upper wall and base of bladder were detached in sequence.After cutting the ureters, the bladder was detached retrogradely. After the back of prostate was separated from rectum with forefinger, cut and ligated the lateral ligament of bladder and the fasciculus...

Purpose:To evaluate the modified technique of total cystectomy and the clinical effect of ileal orthotopic neobladder for bladder tumor.Methods:A modified technique of total cystectomy was carried out in 12 patients with bladder tumor. The dome, bilateral upper wall and base of bladder were detached in sequence.After cutting the ureters, the bladder was detached retrogradely. After the back of prostate was separated from rectum with forefinger, cut and ligated the lateral ligament of bladder and the fasciculus of spermatophore which were detached upward and outward by forfinger. The uterus and vagina were reserved in female patients.An neobladder was constructed using an ileal segment with a "W" type. All patients had been followed up ,including the operational complications ,the urine incontinence, the capacity of the neobladder, Intravenous Urography (IVU), B ultrasound and biochemistry examination. The time of following up was from 8 to 62 months with a mean of 35 months.Results:The cystectomy takes 80 minutes on average with a mean bleeding volume of 450ml. The patients have excellent urine control and micturition. Patient with hydrocele of upper urinary tract was not found by BUS and IVU. Voiding cystography revealed no patient with ureterovesical reflux. Renal function, electrolyte and other laboratory findings were normal. No patient suffered from tumor recurrence in neobladder or urethral.Conclusion:The modified technique of total cystectomy and orthotopic ileal neobladder was an ideal methods for treatment of invasive bladder tumor.

目的 :评价改良全膀胱切除方法和原位回肠新膀胱术的临床疗效。方法 :对 12例膀胱癌患者行改良全膀胱切除术 ,顺行分离膀胱顶部、侧壁上半部、底部 ,切断输尿管后改逆行分离。示指紧贴前列腺包膜将前列腺与直肠分开后 ,向上向外将膀胱颈部侧韧带和精囊尾的纤维束钩于示指掌握之中 ,切断并结扎。女性患者保留内生殖器及尿道内口。尿流改道采用原位回肠新膀胱术 ,并就手术并发症、术后控尿排尿情况、新膀胱容量、影像学和生化检查进行随访 ,随访时间 8~ 6 2个月 ,平均 35个月。结果 :切除膀胱时间平均 80min ,术中平均出血 4 5 0ml。原位回肠新膀胱控尿、排尿良好 ,术后静脉尿路造影、B超检查未见上尿路扩张 ,膀胱造影未发现输尿管反流 ,血生化检查正常 ,未发现新膀胱或尿道肿瘤复发。结论 :改良膀胱切除术 原位回肠新膀胱术是治疗浸润性膀胱癌的理想方法。

Objective We performed total cystectomy for bladder cancer and orthotopic ileal neobladder in order to solve the urine reservoir and micturition.Methods 38 patients with bladder cancer accepted Studer ileal low pressure bladder substitution and orthotopic neobladder econstructruction.Results Studer low pressure ileal orthotopic neobladder reconstruction was capacious,and good micturition.No patient had nocturnal incontinence complications were less.Conclusion Studer low pressure ileal orthotopic...

Objective We performed total cystectomy for bladder cancer and orthotopic ileal neobladder in order to solve the urine reservoir and micturition.Methods 38 patients with bladder cancer accepted Studer ileal low pressure bladder substitution and orthotopic neobladder econstructruction.Results Studer low pressure ileal orthotopic neobladder reconstruction was capacious,and good micturition.No patient had nocturnal incontinence complications were less.Conclusion Studer low pressure ileal orthotopic neobladder reconstruction is a better procedure for orthotopicreconstruction after total cystectomy.

目的 探讨膀胱癌患者行全膀胱切除术后正位膀胱重建术 ,解决贮尿和排尿问题。方法 采用Studer低压回肠袋正位膀胱重建术 38例。结果 回肠袋膀胱重建术贮尿量满意、排尿良好 ,偶然出现夜间尿失禁。并发症少。结论 Studer低压回肠袋正位膀胱重建术是比较理想的肠代膀胱术

 
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