EVALUATION OF URETERO-ILEAL ANASTOMOSIS IN ILEAL CONDUIT

Abstract

尿管腸吻合法として， Cordonnier法またはNesbit法を用いたileal conduit 28例を対象に尿管腸吻合法のあり方についての検討をおこない，次のごとき果が得られた。 1) Ureteral obstructions がCordonnier法に19尿管中8尿管にNebist法に26尿管中5尿管に生した。2) 逆流がCordonnier法15尿管中11尿管に，Nebist法17尿管中9尿管に，左，16尿管中14尿管に，右, 16尿管中6尿管に発生した。 3) PSPは15分値に低下をみるが, 120分値に改善がみられた。 4)本術式によると考えられる尿路感染の悪化はみられなかった。 5)上記の成績から，尿管腸吻合に逆流防止法の設定は必ずしも要しないとの見解に達した。

In ileal conduit, the direct uretero-ileal anastomosis was conducted in 28 cases by using the method of Cordonnier or Nesbit. And the reflux-preventing technique was not used in this study. The results are as follows: 1) Ureteral obstruction was noted in 8 out of 19 ureters in the Cordonnier's method, while it was observed in 5 out of 26 ureters in the Nesbit's method. 2) Ureteral reflux was noted in 11 out of 15 ureters in the Cordinnier's method, while 9 out of 17 ureters in the Nesbit's method. Reflux was observed in 14 out of 16 ureters on the left, whereas 6 out of 16 ureters on the right. 3) PSP values at 15 minutes were lower, but those at 120 minutes improved except in one case. 4) Urinary tract infections improved and did not aggravate except for special cases.