장관을 이용한 대용방광의 임상적 관찰
Clinical Observation on Substitute Bladders Replaced with Isolated Intestinal Segments
소속 상세정보
민병갑/Min BK
KMID : 0358319770180010001
Abstract
Physiologic micturition has been observed in 3 patients with vesical tumors who underwent total cystoprostatovesicutectomy, followed by construction of substitute bladders from isolated bowel segments (an ileal segment in 1 case and sigmoid segments in 2 cases) anastomosed to the urethra. The 2 patients of advanced vesical carcinoma died 8 and 18 months postoperatively, but the remaining one of multiple papillomatosis has been alive up to date 8 years postoperatively. It suggests that the sigmoid bladder is a useful method at the present time for urinary reconstruction following total cystectomy in certain selected cases to adapt them to the social life with "dry" condition, especially expecting competent uretero-sigmoid anastomosis.
키워드
방광종양; 훼리틴; 방광성형술; 확대술; bladder substitution; intestinal segments
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