The Use of The Appendix or Tapered Ileal Segment as a Continent Cathererizable Efferent Limb of Urinary Reservior

Kuan-Chou Chen; Wing-Ming  Lai; Yi Kuang Chen; Han-Sun Chiang

The Use of The Appendix or Tapered Ileal Segment as a Continent Cathererizable Efferent Limb of Urinary Reservior

貢獻的翻譯標題: 應用盲腸或縮窄的迴腸段來做為可禁式儲尿囊之自我導尿肢

Kuan-Chou Chen, Wing-Ming Lai, Yi Kuang Chen, Han-Sun Chiang

研究成果: 雜誌貢獻 › 文章 › 同行評審

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摘要

背景與目的：5 位患有膀胱肌肉層侵犯之膀胱癌病患在接受全膀胱摘除手術之後
以迴腸來重建代用膀胱，並應用改良式的 Mitrofanoff 步驟來建立禁尿機制。我們報告
這 5 位病患對代用膀胱禁尿機制的使用滿意度及功能評估結果。方法：上述 5 位病患
之術後追蹤期從 28 至 99 個月不等（平均 53 個月）。3 位病患使用修飾後的盲腸，而
另兩位使用縮窄的迴腸段來建構可禁尿的自我導尿肢。1 位病患在術後 28 個月死於膀
胱癌遠處轉移。結果：在 53 個月的平均追蹤期中，5 位病患皆滿意並能夠輕易地從肚
臍造廔口執行自我導尿，尿路動力學評估顯示低壓的代用膀胱和穩定的擴約肌張力，
而且沒有漏尿現象。5 位病患皆無造廔口狹窄或導尿肢穿孔的現象，隨著代用膀胱容
積之逐漸增加，導尿間距從 3 小時延長至 5 小時。追蹤期中從影像學檢查上並無病患
有輸尿管膀胱交接處狹窄或尿液逆流之現象發生。結論：就建構一個可禁尿的自我導
尿肢而言，盲腸或縮窄的迴腸段似乎是令人滿意的構造，而且將造廔口安置於肚臍上
具有增加美觀及增進病患生活品質之益處。(輔仁醫學期刊 2005；3 (2)：69-74 )

貢獻的翻譯標題	應用盲腸或縮窄的迴腸段來做為可禁式儲尿囊之自我導尿肢
原文	英語
頁（從 - 到）	69-74
頁數	6
期刊	Fu-Jen Journal of Medicine
卷	3
發行號	2
出版狀態	已發佈 - 2005

Keywords

continent urinary diversion
Ileum
Appendix
radical cystectomy

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The Use of The Appendix or Tapered Ileal Segment as a Continent Cathererizable Efferent Limb of Urinary Reservior

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title = "The Use of The Appendix or Tapered Ileal Segment as a Continent Cathererizable Efferent Limb of Urinary Reservior",

abstract = "Background and Purpose: We report our functional results of ileal continent reservoir,which utilized the modified Mitrofanoff procedure as the continence mechanism in 5 invasivebladder cancer patients post radical cystectomy. Methods: Five invasive bladder cancer patientsaccepted radical cystectomy with ileal continent reservoir formation and follow-up ranged from 28to 99 months (mean 53). Three patients accepted modified appendix and two accepted the ilealsegment tapering as the continent catheterizable efferent limb. One patient died of metastaticbladder cancer 28 months postoperatively. Results: During the mean follow-up of 53 months, allthe 5 patients were satisfied with the ease of performing self-catheterization through the umbilicalstoma. Urodynamic evaluations revealed low pressure reservoir and stable sphincter tone withouturine leakage. None of patients had stoma stenosis or appendix perforation, catheterizationinterval increased from 3 to 5 hours as reservoir capacity developed. Conclusion: The appendixor tapered ileal segment seem to be the satisfactory structure for the creation of a continentcatheterizable conduit and the placement of stoma in the umbilicus proves to be advantageous inenhancing the patient's body image and quality of life. ( FJJM 2005; 3 (2) : 69-74 )",

keywords = "continent urinary diversion, Ileum, Appendix, radical cystectomy",

author = "Kuan-Chou Chen and Wing-Ming Lai and Chen, {Yi Kuang} and Han-Sun Chiang",

year = "2005",

language = "English",

volume = "3",

pages = "69--74",

journal = "Fu-Jen Journal of Medicine",

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TY - JOUR

T1 - The Use of The Appendix or Tapered Ileal Segment as a Continent Cathererizable Efferent Limb of Urinary Reservior

AU - Chen, Kuan-Chou

AU - Lai, Wing-Ming

AU - Chen, Yi Kuang

AU - Chiang, Han-Sun

PY - 2005

Y1 - 2005

N2 - Background and Purpose: We report our functional results of ileal continent reservoir,which utilized the modified Mitrofanoff procedure as the continence mechanism in 5 invasivebladder cancer patients post radical cystectomy. Methods: Five invasive bladder cancer patientsaccepted radical cystectomy with ileal continent reservoir formation and follow-up ranged from 28to 99 months (mean 53). Three patients accepted modified appendix and two accepted the ilealsegment tapering as the continent catheterizable efferent limb. One patient died of metastaticbladder cancer 28 months postoperatively. Results: During the mean follow-up of 53 months, allthe 5 patients were satisfied with the ease of performing self-catheterization through the umbilicalstoma. Urodynamic evaluations revealed low pressure reservoir and stable sphincter tone withouturine leakage. None of patients had stoma stenosis or appendix perforation, catheterizationinterval increased from 3 to 5 hours as reservoir capacity developed. Conclusion: The appendixor tapered ileal segment seem to be the satisfactory structure for the creation of a continentcatheterizable conduit and the placement of stoma in the umbilicus proves to be advantageous inenhancing the patient's body image and quality of life. ( FJJM 2005; 3 (2) : 69-74 )

AB - Background and Purpose: We report our functional results of ileal continent reservoir,which utilized the modified Mitrofanoff procedure as the continence mechanism in 5 invasivebladder cancer patients post radical cystectomy. Methods: Five invasive bladder cancer patientsaccepted radical cystectomy with ileal continent reservoir formation and follow-up ranged from 28to 99 months (mean 53). Three patients accepted modified appendix and two accepted the ilealsegment tapering as the continent catheterizable efferent limb. One patient died of metastaticbladder cancer 28 months postoperatively. Results: During the mean follow-up of 53 months, allthe 5 patients were satisfied with the ease of performing self-catheterization through the umbilicalstoma. Urodynamic evaluations revealed low pressure reservoir and stable sphincter tone withouturine leakage. None of patients had stoma stenosis or appendix perforation, catheterizationinterval increased from 3 to 5 hours as reservoir capacity developed. Conclusion: The appendixor tapered ileal segment seem to be the satisfactory structure for the creation of a continentcatheterizable conduit and the placement of stoma in the umbilicus proves to be advantageous inenhancing the patient's body image and quality of life. ( FJJM 2005; 3 (2) : 69-74 )

KW - continent urinary diversion

KW - Ileum

KW - Appendix

KW - radical cystectomy

M3 - Article

VL - 3

SP - 69

EP - 74

JO - Fu-Jen Journal of Medicine

JF - Fu-Jen Journal of Medicine

IS - 2

ER -

The Use of The Appendix or Tapered Ileal Segment as a Continent Cathererizable Efferent Limb of Urinary Reservior

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Keywords

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