根治性膀胱切除术后常用尿流改道方式研究进展_《中国修复重建外科杂志》

作者：

蒲春晓 , 员海超 , 李金洪 , 唐寅 , 韩平

四川大学华西医院泌尿外科（成都，610041）;

关键词：

尿流改道膀胱肿瘤根治性膀胱切除术组织工程

DOI：

10.7507/1002-1892.20130111

视频：

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摘要 全文 图表 视频 参考文献 施引文献 补充材料

目的综述根治性膀胱切除术后常用的尿流改道方式。方法广泛查阅近年国内外有关根治性膀胱切除术后尿流改道的文献并进行总结。结果尿流改道术包括不可控性尿流改道皮肤造口术、可控性尿流改道皮肤造口术、原位新膀胱术，其中不可控性尿流改道造口术中的回肠流出道术是一种应用广泛、疗效理想的术式。组织工程膀胱的一系列基础研究显示其具有广阔临床应用前景。结论肠管在较长时间内仍将是尿流改道及膀胱重建的主要材料；组织工程膀胱有望成为膀胱替代的理想材料，成为解决膀胱缺失的最终途径。

引用本文： 蒲春晓,员海超,李金洪,唐寅,韩平. 根治性膀胱切除术后常用尿流改道方式研究进展. 中国修复重建外科杂志, 2013, 27(4): 492-495. doi: 10.7507/1002-1892.20130111 复制

1.	19 Abol-Enein H, Ghoneim MA. Functional results of orthotopic ileal neobladder with serous-lined extramural ureteral reimplantation: experience with 450 patients. J Urol, 2001, 165(5): 1427-1432. 20 Stein JP, Clark P, Miranda G, et al. Urethral tumor recurrence following cystectomy and urinary diversion: clinical and pathological characteristics in 768 male patients. J Urol, 2005, 173(4): 1163-1168.
2.	21 Kassouf W, Spiess PE, Brown GA, et al. Prostatic urethral biopsy has limited usefulness in counseling patients regarding final urethral margin status during orthotopic neobladder reconstruction. J Urol, 2008, 180(1): 164-167. 22 Steven K, Poulsen AL. The orthotopic Kock ileal neobladder: functional results, urodynamic features, complications and survival in 166 men. J Urol, 2000, 164(2): 288-295.
3.	24 Stenzl A, Jarolim L, Coloby P, et al. Urethra-sparing cystectomy and orthotopic urinary diversion in women with malignant pelvic tumors. Cancer, 2001, 92(7): 1864-1871. 25 Minervini A, Boni G, Salinitri G, et al. Evaluation of renal function and upper urinary tract morphology in the ileal orthotopic neobladder with no antireflux mechanism. J Urol, 2005, 173(1): 144-147. 26 Schrier BP, Laguna MP, van der Pal F, et al. Comparison of orthotopic sigmoid and ileal neobladders: continence and urodynamic parameters. Eur Urol, 2005, 47(5): 679-685. 27 Hohenfellner M, Bürger R, Schad H, et al. Reservoir characteristics of Mainz pouch studied in animal model. Osmolality of filling solution and effect of oxybutynin. Urology, 1993, 42(6): 741-746. 28 Mills RD, Studer UE. Metabolic consequences of continent urinary diversion. J Urol, 1999, 161(4): 1057-1066.
4.	30 Elmajian DA, Stein JP, Esrig D, et al. The Kock ileal neobladder: updated experience in 295 male patients. J Urol, 1996, 156(3): 920-925. 31 Stein JP, Freeman JA, Esrig D, et al. Complications of the afferent antireflux valve mechanism in the Kock ileal reservoir. J Urol, 1996, 155(5): 1579-1584. 32 Chung SY, Krivorov NP, Rausei V, et al. Bladder reconstitution with bone marrow derived stem cells seeded on small intestinal submucosa improves morphological and molecular composition. J Urol, 2005, 174(1): 353-359. 33 Hochedlinger K, Rideout WM, Kyba M, et al. Nuclear transplantation, embryonic stem cells and the potential for cell therapy. Hematol J, 2004, 5 Suppl 3: S114-S117. 34 Yu J, Vodyanik MA, Smuga-Otto K, et al. Induced pluripotent stem cell lines derived from human somatic cells. Science, 2007, 318(5858): 1917-1920. 35 Huebsch N, Mooney DJ. Inspiration and application in the evolution of biomaterials. Nature, 2009, 462(7272): 426-432. 36 Karageorgiou V, Kaplan D. Porosity of 3D biomaterial scaffolds and osteogenesis. Biomaterials, 2005, 26(27): 5474-5491. 37 杨斌, 戴玉田, 孙则禹. 组织工程膀胱的血管化及其策略. 组织工程与重建外科杂志, 2009, 5(1): 52-55.
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19.	那彦群, 叶章群, 孙光. 中国泌尿外科疾病诊断治疗指南. 2011版. 北京: 人民卫生出版社, 2011: 33.
20.	Gore JL, Yu HY, Setodji C, et al. Urinary diversion and morbidity after radical cystectomy for bladder cancer. Cancer, 2010, 116(2): 331-339.
21.	Manoharan M, Ayyathurai R, Soloway MS. Radical cystectomy for urothelial carcinoma of the bladder: an analysis of perioperative and survival outcome. BJU Int, 2009, 104(9): 1227-1232.
22.	Jahnson S, Damm O, Hellsten S, et al. Urinary diversion after cystectomy for bladder cancer: a population-based study in Sweden. Scand J Urol Nephrol, 2010, 44(2): 69-75.
23.	Gerharz EW, Månsson A, Hunt S, et al. Quality of life after cystectomy and urinary diversion: an evidence based analysis. J Urol, 2005, 174(5): 1729-1736.
24.	Porter MP, Penson DF. Health related quality of life after radical cystectomy and urinary diversion for bladder cancer: a systematic review and critical analysis of the literature. J Urol, 2005, 173(4): 1318-1322.
25.	Leissner J, Black P, Fisch M, et al. Colon pouch (Mainz pouch III) for continent urinary diversion after pelvic irradiation. Urology, 2000, 56(5): 798-802.
26.	Kato H, Igawa Y, Komiyama I, et al. Continent urinary reservoir formation with transverse colon for patients with pelvic irradiation. Int J Urol, 2002, 9(4): 200-203.
27.	Leissner J, Fisch M, Hohenfellner R. Colonic pouch (Mainz-pouch III) for continent urinary diversion. BJU Int, 2006, 97(2): 417-430.
28.	Stolzenburg JU, Schwalenberg T, Liatsikos EN, et al. Colon pouch (Mainz III) for continent urinary diversion. BJU Int, 2007, 99(6): 1473-1477.
29.	Skinner DG, Studer UE, Okada K, et al. Which patients are suitable for continent diversion or bladder substitution following cystectomy or other definitive local treatment? Int J Urol, 1995, 2 Suppl 2: 105-112.
30.	Månsson W, Davidsson T, Konyves J, et al. Continent urinary tract reconstruction-the Lund experience. BJU Int, 2003, 92(3): 271-276.
31.	Shariat SF, Palapattu GS, Karakiewicz PI, et al. Concomitant carcinoma in situ is a feature of aggressive disease in patients with organ-confined TCC at radical cystectomy. Eur Urol, 2007, 51(1): 152-160.
32.	Ali-El-Dein B, Gomha M, Ghoneim MA. Critical evaluation of the problem of chronic urinary retention after orthotopic bladder substitution in women. J Urol, 2002, 168(2): 587-592.
33.	Large MC, Katz MH, Shikanov S, et al. Orthotopic neobladder versus Indiana pouch in women: a comparison of health related quality of life outcomes. J Urol, 2010, 183(1): 201-206.
34.	World Health Organization (WHO) Consensus Conference on Bladder Cancer, Hautmann RE, Abol-Enein H, et al. Urinary diversion. Urology, 2007, 69(1 Suppl): 17-49.
35.	Hautmann RE, Volkmer BG, Schumacher MC, et al. Long-term results of standard procedures in urology: the ileal neobladder. World J Urol, 2006, 24(3): 305-314.
36.	Stein JP, Dunn MD, Quek ML, et al. The orthotopic T pouch ileal neobladder: experience with 209 patients. J Urol, 2004, 172(2): 584-587.
37.	Gotoh M, Yoshikawa Y, Sahashi M, et al. Urodynamic study of storage and evacuation of urine in patients with a urethral Kock pouch. J Urol, 1995, 154(5): 1850-1853.
38.	Atala A, Bauer SB, Soker S, et al. Tissue-engineered autologous bladders for patients needing cystoplasty. Lancet, 2006, 367(9518): 1241-1246.

1. 19 Abol-Enein H, Ghoneim MA. Functional results of orthotopic ileal neobladder with serous-lined extramural ureteral reimplantation: experience with 450 patients. J Urol, 2001, 165(5): 1427-1432. 20 Stein JP, Clark P, Miranda G, et al. Urethral tumor recurrence following cystectomy and urinary diversion: clinical and pathological characteristics in 768 male patients. J Urol, 2005, 173(4): 1163-1168.
2. 21 Kassouf W, Spiess PE, Brown GA, et al. Prostatic urethral biopsy has limited usefulness in counseling patients regarding final urethral margin status during orthotopic neobladder reconstruction. J Urol, 2008, 180(1): 164-167. 22 Steven K, Poulsen AL. The orthotopic Kock ileal neobladder: functional results, urodynamic features, complications and survival in 166 men. J Urol, 2000, 164(2): 288-295.
3. 24 Stenzl A, Jarolim L, Coloby P, et al. Urethra-sparing cystectomy and orthotopic urinary diversion in women with malignant pelvic tumors. Cancer, 2001, 92(7): 1864-1871. 25 Minervini A, Boni G, Salinitri G, et al. Evaluation of renal function and upper urinary tract morphology in the ileal orthotopic neobladder with no antireflux mechanism. J Urol, 2005, 173(1): 144-147. 26 Schrier BP, Laguna MP, van der Pal F, et al. Comparison of orthotopic sigmoid and ileal neobladders: continence and urodynamic parameters. Eur Urol, 2005, 47(5): 679-685. 27 Hohenfellner M, Bürger R, Schad H, et al. Reservoir characteristics of Mainz pouch studied in animal model. Osmolality of filling solution and effect of oxybutynin. Urology, 1993, 42(6): 741-746. 28 Mills RD, Studer UE. Metabolic consequences of continent urinary diversion. J Urol, 1999, 161(4): 1057-1066.
4. 30 Elmajian DA, Stein JP, Esrig D, et al. The Kock ileal neobladder: updated experience in 295 male patients. J Urol, 1996, 156(3): 920-925. 31 Stein JP, Freeman JA, Esrig D, et al. Complications of the afferent antireflux valve mechanism in the Kock ileal reservoir. J Urol, 1996, 155(5): 1579-1584. 32 Chung SY, Krivorov NP, Rausei V, et al. Bladder reconstitution with bone marrow derived stem cells seeded on small intestinal submucosa improves morphological and molecular composition. J Urol, 2005, 174(1): 353-359. 33 Hochedlinger K, Rideout WM, Kyba M, et al. Nuclear transplantation, embryonic stem cells and the potential for cell therapy. Hematol J, 2004, 5 Suppl 3: S114-S117. 34 Yu J, Vodyanik MA, Smuga-Otto K, et al. Induced pluripotent stem cell lines derived from human somatic cells. Science, 2007, 318(5858): 1917-1920. 35 Huebsch N, Mooney DJ. Inspiration and application in the evolution of biomaterials. Nature, 2009, 462(7272): 426-432. 36 Karageorgiou V, Kaplan D. Porosity of 3D biomaterial scaffolds and osteogenesis. Biomaterials, 2005, 26(27): 5474-5491. 37 杨斌, 戴玉田, 孙则禹. 组织工程膀胱的血管化及其策略. 组织工程与重建外科杂志, 2009, 5(1): 52-55.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18. Stenzl A, Cowan NC, De Santis M, et al. The updated EAU guidelines on muscle-invasive and metastatic bladder cancer. Eur Urol, 2009, 55(4): 815-825.
19. 那彦群, 叶章群, 孙光. 中国泌尿外科疾病诊断治疗指南. 2011版. 北京: 人民卫生出版社, 2011: 33.
20. Gore JL, Yu HY, Setodji C, et al. Urinary diversion and morbidity after radical cystectomy for bladder cancer. Cancer, 2010, 116(2): 331-339.
21. Manoharan M, Ayyathurai R, Soloway MS. Radical cystectomy for urothelial carcinoma of the bladder: an analysis of perioperative and survival outcome. BJU Int, 2009, 104(9): 1227-1232.
22. Jahnson S, Damm O, Hellsten S, et al. Urinary diversion after cystectomy for bladder cancer: a population-based study in Sweden. Scand J Urol Nephrol, 2010, 44(2): 69-75.
23. Gerharz EW, Månsson A, Hunt S, et al. Quality of life after cystectomy and urinary diversion: an evidence based analysis. J Urol, 2005, 174(5): 1729-1736.
24. Porter MP, Penson DF. Health related quality of life after radical cystectomy and urinary diversion for bladder cancer: a systematic review and critical analysis of the literature. J Urol, 2005, 173(4): 1318-1322.
25. Leissner J, Black P, Fisch M, et al. Colon pouch (Mainz pouch III) for continent urinary diversion after pelvic irradiation. Urology, 2000, 56(5): 798-802.
26. Kato H, Igawa Y, Komiyama I, et al. Continent urinary reservoir formation with transverse colon for patients with pelvic irradiation. Int J Urol, 2002, 9(4): 200-203.
27. Leissner J, Fisch M, Hohenfellner R. Colonic pouch (Mainz-pouch III) for continent urinary diversion. BJU Int, 2006, 97(2): 417-430.
28. Stolzenburg JU, Schwalenberg T, Liatsikos EN, et al. Colon pouch (Mainz III) for continent urinary diversion. BJU Int, 2007, 99(6): 1473-1477.
29. Skinner DG, Studer UE, Okada K, et al. Which patients are suitable for continent diversion or bladder substitution following cystectomy or other definitive local treatment? Int J Urol, 1995, 2 Suppl 2: 105-112.
30. Månsson W, Davidsson T, Konyves J, et al. Continent urinary tract reconstruction-the Lund experience. BJU Int, 2003, 92(3): 271-276.
31. Shariat SF, Palapattu GS, Karakiewicz PI, et al. Concomitant carcinoma in situ is a feature of aggressive disease in patients with organ-confined TCC at radical cystectomy. Eur Urol, 2007, 51(1): 152-160.
32. Ali-El-Dein B, Gomha M, Ghoneim MA. Critical evaluation of the problem of chronic urinary retention after orthotopic bladder substitution in women. J Urol, 2002, 168(2): 587-592.
33. Large MC, Katz MH, Shikanov S, et al. Orthotopic neobladder versus Indiana pouch in women: a comparison of health related quality of life outcomes. J Urol, 2010, 183(1): 201-206.
34. World Health Organization (WHO) Consensus Conference on Bladder Cancer, Hautmann RE, Abol-Enein H, et al. Urinary diversion. Urology, 2007, 69(1 Suppl): 17-49.
35. Hautmann RE, Volkmer BG, Schumacher MC, et al. Long-term results of standard procedures in urology: the ileal neobladder. World J Urol, 2006, 24(3): 305-314.
36. Stein JP, Dunn MD, Quek ML, et al. The orthotopic T pouch ileal neobladder: experience with 209 patients. J Urol, 2004, 172(2): 584-587.
37. Gotoh M, Yoshikawa Y, Sahashi M, et al. Urodynamic study of storage and evacuation of urine in patients with a urethral Kock pouch. J Urol, 1995, 154(5): 1850-1853.
38. Atala A, Bauer SB, Soker S, et al. Tissue-engineered autologous bladders for patients needing cystoplasty. Lancet, 2006, 367(9518): 1241-1246.

《中国修复重建外科杂志》

根治性膀胱切除术后常用尿流改道方式研究进展

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《中国修复重建外科杂志》

根治性膀胱切除术后常用尿流改道方式研究进展

摘要 全文 图表 视频 参考文献 施引文献 补充材料

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