根治性膀胱切除術后常用尿流改道方式研究進展_《中國修復重建外科雜志》

作者：

蒲春曉 , 員海超 , 李金洪 , 唐寅 , 韓平

四川大學華西醫院泌尿外科（成都，610041）;

關鍵詞：

尿流改道膀胱腫瘤根治性膀胱切除術組織工程

DOI：

10.7507/1002-1892.20130111

視頻：

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目的綜述根治性膀胱切除術后常用的尿流改道方式。方法廣泛查閱近年國內外有關根治性膀胱切除術后尿流改道的文獻并進行總結。結果尿流改道術包括不可控性尿流改道皮膚造口術、可控性尿流改道皮膚造口術、原位新膀胱術，其中不可控性尿流改道造口術中的回腸流出道術是一種應用廣泛、療效理想的術式。組織工程膀胱的一系列基礎研究顯示其具有廣闊臨床應用前景。結論腸管在較長時間內仍將是尿流改道及膀胱重建的主要材料；組織工程膀胱有望成為膀胱替代的理想材料，成為解決膀胱缺失的最終途徑。

引用本文： 蒲春曉,員海超,李金洪,唐寅,韓平. 根治性膀胱切除術后常用尿流改道方式研究進展. 中國修復重建外科雜志, 2013, 27(4): 492-495. doi: 10.7507/1002-1892.20130111 復制

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 楊斌, 戴玉田, 孫則禹. 組織工程膀胱的血管化及其策略. 組織工程與重建外科雜志, 2009, 5(1): 52-55.
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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.	那彥群, 葉章群, 孫光. 中國泌尿外科疾病診斷治療指南. 2011版. 北京: 人民衛生出版社, 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 楊斌, 戴玉田, 孫則禹. 組織工程膀胱的血管化及其策略. 組織工程與重建外科雜志, 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. 那彥群, 葉章群, 孫光. 中國泌尿外科疾病診斷治療指南. 2011版. 北京: 人民衛生出版社, 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.

《中國修復重建外科雜志》

根治性膀胱切除術后常用尿流改道方式研究進展

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《中國修復重建外科雜志》

根治性膀胱切除術后常用尿流改道方式研究進展

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