UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 膀胱切除術後の尿路変更および尿路再建urinary diversion and reconstruction following cystectomy [show details]
…with a urinary diversion and reconstruction procedure. Ureterosigmoidostomy, which relied upon the anal sphincter for continence, was the first widely used surgical technique of urinary diversion. Its usefulness …
2. 尿路変更後の腎合併症および代謝合併症renal and metabolic complications following urinary diversion [show details]
…the terminal ileum during ileal conduit creation can develop diarrhea due to malabsorption of bile salts and fat as well as bacterial overgrowth. Patients with urinary diversion are at increased risk for …
3. 尿路上皮膀胱癌の初期アプローチおよびマネージメントの概要overview of the initial approach and management of urothelial bladder cancer [show details]
…of several forms: Ileal conduits – A noncontinent cutaneous diversion, in which the urine flows from the ureters through a segment of bowel (usually ileum, termed an ileal conduit) to the skin surface …
4. 尿路上皮膀胱癌に対する根治的膀胱全摘除術および膀胱温存治療radical cystectomy and bladder sparing treatments for urothelial bladder cancer [show details]
…response to chemotherapy, we recommend radical cystectomy . Options for urinary diversion include a non-continent diversion (ileal conduit), a continent catheterizable reservoir, or an orthotopic neobladder …
5. 成人男性の尿道狭窄症strictures of the adult male urethra [show details]
…supravesical urinary diversion (eg, ileal loop urinary diversion, continent right colon pouch urinary diversion, continent small bowel urinary diversion). The procedure is performed in a similar manner as …

Japanese Journal

膀胱膣瘻,直腸膀胱瘻に対する横行結腸導管の3例

新村研二,秦野直,池原在,伊波恵,新村友季子,新村眞司,黒木嘉典,大橋望,末永豊邦
西日本泌尿器科 = The Nishinihon journal of urology 81(5), 526-529, 2019-10
NAID 40022035999

両側尿管回腸新膀胱吻合部狭窄に対して後腹膜アプローチ腹腔鏡下両側尿管剥離術を併用して結腸導管造設術を施行した一例

川守田直樹,伊藤明宏,三塚浩二,荒井陽一
Japanese Journal of Endourology 31(1), 144-147, 2018
… 患者はステージ4の慢性腎臓病があり, また治療経過から骨盤部の強固な癒着があると想定されたため, 後腹膜アプローチによる腹腔鏡下両側尿管剥離術後に結腸導管造設術を行った. … 骨盤部に強い癒着が想定される場合の二次的な尿路変向において, 後腹膜アプローチによる腹腔鏡下両側尿管剥離術を併用した結腸導管造設術は有効な術式と考えられる.</p> …
NAID 130007384720

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

松井喜之,兼松明弘,根来宏光 [他],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
泌尿器科紀要 = Acta urologica Japonica 60(8), 365-370, 2014-08
In patients receiving pelvic irradiation for gynecological or genitourinary malignancies, urinary diversion is sometimes required for complete resection of malignancies or treatment of urological comp …
NAID 120005468370