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60_365.pdf | 1.66 MB | Adobe PDF | 見る/開く |
タイトル: | 骨盤部放射線照射後症例に対する尿路変向術: 横行結腸導管再訪 |
その他のタイトル: | Urinary Diversion in Patients Treated with Pelvic Irradiation : Transverse Colon Conduit Revisited |
著者: | 松井, 喜之 兼松, 明弘 根来, 宏光 小林, 恭 寺田, 直樹 杉野, 善雄 山崎, 俊成 井上, 貴博 神波, 大己 吉村, 耕治 小川, 修 |
著者名の別形: | Matsui, Yoshiyuki Kanematsu, Akihiro Negoro, Hiromitsu Kobayashi, Takashi Terada, Naoki Sugino, Yoshio Yamasaki, Toshinari Inoue, Takahiro Kamba, Tomomi Yoshimura, Koji Ogawa, Osamu |
キーワード: | Urinary diversion Transverse colon conduit Pelvic irradiation |
発行日: | Aug-2014 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 60 |
号: | 8 |
開始ページ: | 365 |
終了ページ: | 370 |
抄録: | In patients receiving pelvic irradiation for gynecological or genitourinary malignancies, urinary diversion is sometimes required for complete resection of malignancies or treatment of urological complications by irradiation. We report our attempts to promote healing and prevent complications by urinary diversion using a transverse colon conduit in cases in which urinary reconstruction was performed with irradiated lower abdominal organs such as small intestine or distal ureters. Between 2008 and 2012, 9 patients with pelvic irradiation received transverse colon conduit urinary diversion. Six patients received diversion for genitourinary complications, while 3 patients received complete resection of pelvic malignancies. Colostomy formation and lithotripsy of vesical stones were simultaneously performed in 4 cases. Wallace method was adopted for ureterointestinal anastomosis. There was no operative mortality. Although acute pyelonephritis, ileus, wound dehiscence and pelvic abscess formation were seen as postoperative complications, all but two improved without any additional procedure. Cases of pelvic abscess or wound dehiscence were treated by abscess drainage. In observation periods, no patients required urinary stent placement and none suffered from defecation problems. We think that transverse colon conduit can be a viable option for patients with pelvic irradiation history, affording them reasonable quality of life postoperatively. |
著作権等: | 許諾条件により本文は2015/09/01に公開 |
URI: | http://hdl.handle.net/2433/189545 |
PubMed ID: | 25179985 |
出現コレクション: | Vol. 60 No. 8 |
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