장관방광문합후 장문막혈관 절단이 인공방광에 미치는 영향에 대한 실험적 임상적관찰
Experimental and Clinical Observation on the Effect of Severing the Mesentery in Sigmoidocystoplasty
소속 상세정보
김용우/Kim YW
KMID : 0358319640050020079
Abstract
"Experimental and clinical observation on the effects of severing the mesentery in sigmoidocystoplasty was presented with the following results. Preceded by experimental study on 8 dogs,3 clinical cases of severe hyperchloremic acidosis after bladder reconstruction following sigmoidocystoplasty and undergone severing of the mesentery of the graft at 10.11 and 34 months respectively. As far as can be assessed after such short of post-operative observations, certain common features can be ascertained and the following conclusion drawn: 1)Severing of the mesentery to the intestinal segment 60 days after sigmoidocystoplasty yields no ill effect and no mortality. The post-operative course was uneventful and no sign of necrosis or peritonitis has been demonstrated. 2)Hyperchloremic acidosis and hypopotassemia after the bladder reconstruction were promptly corrected after this procedure, and clearly demonstrated in 3 clinical cases of severe hyperchloremic acidosis with hypopotassemia. 3)Mucus secretion in the reconstructed bladder disappeared almost completely 3 months after severing the mesentery. 4)Reabsorption of the radioisotope Na 24 from the artificial bladder was considerably reduced by the procedure."
키워드
방광성형술; 확대술; Mesentery; Sigmoidocystoplasty
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