In situ to control the whole bladder with sigmoid.docVIP

 PAGE \* MERGEFORMAT 8 In situ to control the whole bladder with sigmoid Of: Wu Zhongping, district to the new, fixed Wu, Qing-Wen Lee [Abstract] Objective To explore a radical cystectomy urinary diversion. Methods 40 cases of patients with total cystectomy to control bladder with sigmoid colon in situ. Results were followed up for 2 to 18 months, an average of 12 months, storage of urine average capacity of the bag 380 ml, pressure 1.86 ~ 3.96 kPa, an average of 2.45 kPa, restore full automatic control urination, no reflux, serum electrolytes and renal function was normal. Conclusion The total cut out with a sigmoid orthotopic bladder control reliable efficacy high quality of life of patients after surgery, voiding well controlled in situ, fewer complications, is an ideal urinary diversion. [Keywords:] bladder tumor; cystectomy; Urinary diversion Since November 2000 to June 2009, our department of 40 cases of bladder cancer underwent orthotopic sigmoid bladder full trim with bladder control, and achieved satisfactory results, are as follows. 1 Materials and Methods 1.1 General information on this group of patients a total of 40 patients, 37 males and 3 females, aged 50 to 80 years, mean 60.3 years, 39 cases of transitional cell carcinoma ( ~ grade), 1 case of renal pelvic transitional cell carcinoma patients complicated by carcinoma of ureteral stump transitional cell carcinoma of bladder , distant metastasis were not found, no infiltration of pelvic adhesions rectum. 1.2 surgical endotracheal anesthesia, patients take supine, elevate hips, lower abdominal incision, the first bilateral pelvic lymph node dissection, the free end of the ureter in its cut, male patients with cavernous neurovascular bundles retained bladder radical resection, intraoperative capsule retained prostatic apex 0.5 ~ 1.0 cm, sigmoid colon resection 18 ~ 20 cm, restored the continuity of the colon anastomosis, resection of the sigmoid colon segment to the iodine sol