再评回肠通道术的应用现状及对未来尿流改道方式的展望

牛亦农; 明杰

doi:10.13201/j.issn.1001-1420.2024.06.001

再评回肠通道术的应用现状及对未来尿流改道方式的展望

牛亦农^1, ,,
明杰¹

- 首都医科大学附属北京友谊医院泌尿外科(北京，100050)

详细信息

作者简介:
牛亦农，教授，主任医师，博士生导师，首都医科大学附属北京友谊医院泌尿中心主任。担任中国医师协会、中华医学会等学术组织专业协会/学会常委、委员等学术职务，临床擅长泌尿生殖系统肿瘤的诊断与微创手术治疗以及晚期肿瘤综合治疗。聚焦泌尿系统肿瘤发病机制及治疗策略的研究，2017年以来开展腹腔镜根治性膀胱切除术加体腔内原位回肠膀胱重建/体腔内回肠通道及NOSES术；2021年率团队在国际上领先报道ERAS全程管理的腹腔镜体腔内原位回肠膀胱重建，2022年率团队获得中华医学会泌尿外科学分会膀胱癌研究协作组膀胱癌诊疗一体化示范中心。主持3项国家自然科学基金、2项北京市自然科学基金等9项课题，作为主要参加者与团队荣获省部级二等奖4项，三等奖4项，发明专利1项，实用新型专利5项

通讯作者: 牛亦农，E-mail：niuyinong@mail.ccmu.edu.cn

中图分类号: R737.14

收稿日期: 2024-04-01

刊出日期: 2024-06-06

Ileal conduit for urinary diversion after radical cystectomy: current status and future prospects

NIU Yinong^1, ,,
MING Jie¹

- Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China

More Information

Corresponding author: NIU Yinong, E-mail: niuyinong@mail.ccmu.edu.cn

Received Date: 01 April 2024

Publish Date: 06 June 2024

摘要

摘要: 根治性膀胱切除加盆腔淋巴结清扫术是治疗肌层浸润性膀胱癌和高危非肌层浸润性膀胱癌的金标准。尿流改道是该复杂手术的重要组成部分，回肠通道术操作相对简单易行、安全性好，仍然是目前最常用的尿流改道方式之一。在目前外科技术快速发展的时代背景下，本文将对回肠通道术的应用现状和尿流改道的未来发展再作述评。
- 膀胱癌 /
- 根治性膀胱切除术 /
- 回肠通道术 /
- 尿流改道
Abstract: Radical cystectomy with pelvic lymph node dissection with/without neoadjuvant chemotherapy is the gold standard for treating muscle-invasive bladder cancer and high-risk non-muscle-invasive bladder cancer. Urinary diversion is an important part in this complex surgery. Ileal conduit is feasible and safe, so it's currently one of the most widely used urinary diversions. Therefore, in this article we will review and comment again on the current performance of ileal conduit and the future prospects of urinary diversion in the era of rapid development of surgery techniques.
- bladder cancer /
- radical cystectomy /
- ileal conduit /
- urinary diversion

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参考文献(37)

[1]	Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3): 209-249. doi: 10.3322/caac.21660
[2]	郑荣寿, 陈茹, 韩冰峰, 等. 2022年中国恶性肿瘤流行情况分析[J]. 中华肿瘤杂志, 2024, 46(3): 221-231. doi: 10.3760/cma.j.cn112152-20240119-00035
[3]	Gore JL, Yu HY, Setodji C, et al. Urinary diversion and morbidity after radical cystectomy for bladder cancer[J]. Cancer, 2010, 116(2): 331-339. doi: 10.1002/cncr.24763
[4]	Jahnson S, Damm O, Hellsten S, et al. Urinary diversion after cystectomy for bladder cancer: a population-based study in Sweden[J]. Scand J Urol Nephrol, 2010, 44(2): 69-75. doi: 10.3109/00365590903449357
[5]	Gudjónsson S, Davidsson T, Mǎnsson W. Incontinent urinary diversion[J]. BJU Int, 2008, 102(9 pt b): 1320-1325.
[6]	Hautmann RE, Hautmann SH, Hautmann O. Complications associated with urinary diversion[J]. Nat Rev Urol, 2011, 8(12): 667-677. doi: 10.1038/nrurol.2011.147
[7]	Lawrentschuk N, Colombo R, Hakenberg OW, et al. Prevention and management of complications following radical cystectomy for bladder cancer[J]. Eur Urol, 2010, 57(6): 983-1001. doi: 10.1016/j.eururo.2010.02.024
[8]	Almassi N, Bochner BH. Ileal conduit or orthotopic neobladder: selection and contemporary patterns of use[J]. Curr Opin Urol, 2020, 30(3): 415-420. doi: 10.1097/MOU.0000000000000738
[9]	Madersbacher S, Schmidt J, Eberle JM, et al. Long-term outcome of ileal conduit diversion[J]. J Urol, 2003, 169(3): 985-990. doi: 10.1097/01.ju.0000051462.45388.14
[10]	Shimko MS, Tollefson MK, Umbreit EC, et al. Long-term complications of conduit urinary diversion[J]. J Urol, 2011, 185(2): 562-567. doi: 10.1016/j.juro.2010.09.096
[11]	Catto JWF, Khetrapal P, Ricciardi F, et al. Effect of robot-assisted radical cystectomy with intracorporeal urinary diversion vs open radical cystectomy on 90-day morbidity and mortality among patients with bladder cancer: a randomized clinical trial[J]. JAMA, 2022, 327(21): 2092-2103. doi: 10.1001/jama.2022.7393
[12]	Hussein AA, May PR, Jing Z, et al. Outcomes of intracorporeal urinary diversion after robot-assisted radical cystectomy: results from the international robotic cystectomy consortium[J]. J Urol, 2018, 199(5): 1302-1311. doi: 10.1016/j.juro.2017.12.045
[13]	Hussein AA, Elsayed AS, Aldhaam NA, et al. A comparative propensity score-matched analysis of perioperative outcomes of intracorporeal vs extracorporeal urinary diversion after robot-assisted radical cystectomy: results from the International Robotic Cystectomy Consortium[J]. BJU Int, 2020, 126(2): 265-272. doi: 10.1111/bju.15083
[14]	王明帅, 杨飞亚, 陈东, 等. 邢氏吻合法在机器人辅助腹腔镜下体腔内回肠通道术中的应用[J]. 临床泌尿外科杂志, 2022, 37(11): 812-814, 820. doi: 10.13201/j.issn.1001-1420.2022.11.002
[15]	卢崯, 艾青, 江彬, 等. Y型吻合术在回肠通道术中的初步应用[J]. 微创泌尿外科杂志, 2023, 12(4): 270-275. https://www.cnki.com.cn/Article/CJFDTOTAL-WCMN202304012.htm
[16]	孙林, 宋黎明, 魏后忆, 等. 加速康复外科方案在腹腔镜根治性膀胱切除+体腔内尿流改道术围手术期应用的效果分析[J]. 中华泌尿外科杂志, 2023, 44(5): 363-368. doi: 10.3760/cma.j.cn112330-20221021-00557
[17]	Wei HY, Wang MS, Wasilijiang W, et al. Propensity score-matched analysis for ileal conduit and orthotopic neobladder intracorporeally accomplished following laparoscopic radical cystectomy[J]. Asian J Surg, 2022, 45(4): 987-992. doi: 10.1016/j.asjsur.2021.08.022
[18]	Kretschmer A, Grimm T, Buchner A, et al. Midterm health-related quality of life after radical cystectomy: a propensity score-matched analysis[J]. Eur Urol Focus, 2020, 6(4): 704-710. doi: 10.1016/j.euf.2019.02.017
[19]	Singh V, Yadav R, Sinha RJ, et al. Prospective comparison of quality-of-life outcomes between ileal conduit urinary diversion and orthotopic neobladder reconstruction after radical cystectomy: a statistical model[J]. BJU Int, 2014, 113(5): 726-732. doi: 10.1111/bju.12440
[20]	Francolini G, Ghoshal A, Caini S, et al. Quality of life after definitive treatment for bladder cancer: a systematic review and meta-analysis[J]. Radiother Oncol, 2024, 190: 110038. doi: 10.1016/j.radonc.2023.110038
[21]	Asimakopoulos AD, Finazzi Agrò E, Piechaud T, et al. Urodynamic parameters and continence outcomes in asymptomatic patients with ileal orthotopic neobladder: a systematic review and metanalysis[J]. Cancers, 2024, 16(7): 1253. doi: 10.3390/cancers16071253
[22]	Nieuwenhuijzen JA, de Vries RR, Bex A, et al. Urinary diversions after cystectomy: the association of clinical factors, complications and functional results of four different diversions[J]. Eur Urol, 2008, 53(4): 834-844. doi: 10.1016/j.eururo.2007.09.008
[23]	Chan Y, Fisher P, Tilki D, et al. Urethral recurrence after cystectomy: current preventative measures, diagnosis and management[J]. BJU Int, 2016, 117(4): 563-569. doi: 10.1111/bju.13370
[24]	Pokrywczynska M, Jundzill A, Tworkiewicz J, et al. Urinary bladder augmentation with acellular biologic scaffold-a preclinical study in a large animal model[J]. J Biomed Mater Res B Appl Biomater, 2022, 110(2): 438-449. doi: 10.1002/jbm.b.34920
[25]	Zhang XZ, Jiang YL, Hu JG, et al. Procyanidins-crosslinked small intestine submucosa: a bladder patch promotes smooth muscle regeneration and bladder function restoration in a rabbit model[J]. Bioact Mater, 2021, 6(6): 1827-1838.
[26]	Yang TL, Zhao F, Zhao J, et al. Negatively charged bladder acellular matrix loaded with positively charged adipose-derived mesenchymal stem cell-derived small extracellular vesicles for bladder tissue engineering [J]. J Control Release, 2023, 364: 718-733. doi: 10.1016/j.jconrel.2023.10.048
[27]	Kato T, Selvaggi G, Burke G, et al. Partial bladder transplantation with en bloc kidney transplant: the first case report of a 'bladder patch technique' in a human[J]. Am J Transplant, 2008, 8(5): 1060-1063. doi: 10.1111/j.1600-6143.2008.02180.x
[28]	Gargollo PC, Ahmed ME, Prieto M, et al. Feasibility study of vascularized composite urinary bladder allograft transplantation in a cadaver model[J]. J Urol, 2021, 206(1): 115-123. doi: 10.1097/JU.0000000000001699
[29]	Rocha JN, Brasil U. Cystometric analysis of the transplanted bladder[J]. Int Braz J Urol, 2017, 43(1): 112-120. doi: 10.1590/s1677-5538.ibju.2015.0117
[30]	Wang J, Wu JX, Moris D, et al. Introducing a novel experimental model of bladder transplantation in mice[J]. Am J Transplant, 2020, 20(12): 3558-3566. doi: 10.1111/ajt.15912
[31]	Nassiri N, Cacciamani G, Gill IS. Robotic bladder auto-transplantation in a heart-beating brain-dead human research donor[J]. Eur Urol, 2023, 84(5): 517-518. doi: 10.1016/j.eururo.2023.06.004
[32]	Nassiri N, Cacciamani G, Gill IS. Robotic bladder autotransplantation: preclinical studies in preparation for first-in-human bladder transplant[J]. J Urol, 2023, 210(4): 600-610. doi: 10.1097/JU.0000000000003620
[33]	Bogash M, Kohler FP, Scott RH, et al. Replacement of the urinary bladder by a plastic reservoir with mechanical valves[J]. Surg Forum, 1960, 10: 900-903.
[34]	Cosentino M, Gaya JM, Breda A, et al. Alloplastic bladder substitution: are we making progress?[J]. Int Urol Nephrol, 2012, 44(5): 1295-1303. doi: 10.1007/s11255-012-0249-2
[35]	Pane S, Mazzocchi T, Iacovacci V, et al. Smart implantable artificial bladder: an integrated design for organ replacement[J]. IEEE Trans Biomed Eng, 2021, 68(7): 2088-2097. doi: 10.1109/TBME.2020.3023052
[36]	Casagrande G, Ibrahimi M, Semproni F, et al. Hydraulic detrusor for artificial bladder active voiding[J]. Soft Robot, 2023, 10(2): 269-279. doi: 10.1089/soro.2021.0140
[37]	Yang YZ, Wang JX, Wang L, et al. Magnetic soft robotic bladder for assisted urination[J]. Sci Adv, 2022, 8(34): eabq1456. doi: 10.1126/sciadv.abq1456