机器人辅助原位回肠代膀胱术后膀胱阴道瘘修补术1例
Robot-assisted repair of vesicovaginal fistula following orthotopic neobladder reconstruction:a case report
程功 1刘岳南 1孙逸 1赵军 1肖亚军 1陈敏 1章小平 1韩晓敏1
作者信息
- 1. 华中科技大学同济医学院附属协和医院泌尿外科(武汉,430022);华中科技大学同济医学院泌尿外科研究所
- 折叠
摘要
原位回肠代膀胱术后膀胱阴道瘘的治疗是临床难题.本文报道1例女性患者因肌层浸润性膀胱癌行根治性膀胱切除+原位回肠代膀胱术,术后1年后不间断漏尿.膀胱镜显示新膀胱颈口与尿道内口交界处下方见瘘口呈横行裂口状,长约3.0cm.遂行机器人辅助经膀胱的膀胱阴道瘘修补术,手术入路选择佳,术中瘘口平面暴露好,缝合质量高,手术顺利完成.患者术后5 d拔除尿管后带膀胱造瘘管出院,8周拔除膀胱造瘘管.术后6个月随访患者排尿正常,阴道无漏尿.
Abstract
The treatment of vesicovaginal fistula following orthotopic ileal neobladder surgery is a clinical challenge.This article reports a case of a female patient who underwent radical cystectomy and orthotopic ileal neobladder surgery for muscle invasive bladder cancer.One year postoperatively,she experienced continuous in-continence.Cystography revealed a fistula at the posterior edge of the base of the neobladder.Cystoscopy showed a transverse slit-like fistula at the junction below the new bladder neck and the internal urethral orifice,measuring about 3.0cm in length.Robot-assisted repair of the vesicovaginal fistula was performed,and the surgery was suc-cessful.The patient was discharged five days postoperatively after the removal of the urinary catheter,and the su-prapubic catheter was removed eight weeks later.At the six-month follow-up,the patient's micturition was nor-mal,and no leaking from vaginal.
关键词
膀胱阴道瘘/原位回肠代膀胱/瘘修补术/机器人辅助手术Key words
vesicovaginal fistula/orthotopic neobladder/fistula repair/robot-assisted surgery引用本文复制引用
出版年
2024
NETL
NSTL
万方数据