WordNet

surgical removal of the gall bladder (usually for relief of gallstone pain)

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/10/15 23:10:57」(JST)

wiki en

Cystectomy is a medical term for surgical removal of all or part of the urinary bladder. It may also be rarely used to refer to the removal of a cyst, or the gallbladder. The most common condition warranting removal of the urinary bladder is bladder cancer.^[1] After the bladder has been removed, an Ileal conduit urinary diversion is necessary. An alternative to this method is to construct a pouch from a section of ileum or colon, which can act as a form of replacement bladder, storing urine until the patient desires to release it, which can be achieved by either abdominal straining or self catheterisation. Future treatment for this condition may involve a full replacement with an artificial bladder.

One of the follow-up solutions to a cystectomy is the creation of a neobladder (one form of which is named Studer's Ileal Neobladder or the Studer Pouch). A neobladder is a loop of intestine that is surgically fashioned into a pouch and placed in the location of the original bladder. It is then attached to the ureters and the urethra, thus simulating the function of the original organ. The kidneys filter the urine into the neobladder which can often be emptied by muscle control. There are side effects of this complex surgery, including partial shut down of the digestive system (in response to removal of the piece of intestine), incontinence, and the loss of the nerves that signal a full bladder.

References

^ Clark, PE; Stein JP; Groshen SG; et al. (July 2005). "Radical cystectomy in the elderly: comparison of clinical outcomes between younger and older patients". Cancer. 104 (1): 36–43. doi:10.1002/cncr.21126. PMID 15912515.

External links

American Bladder Cancer Society A site created for and by Bladder Cancer (BLC) survivors, people with symptoms and the people that care about them. A support group promoting education, awareness, and a discussion forum to help patients, survivors, and caregivers share information and get answers to questions.
Information at the Bladder Cancer Web Cafe
About reconstruction from Stanford Hospital
Scientific paper on neobladders

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. 尿路上皮（移行上皮）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 transitional cell bladder cancer
2. 卵巣摘出術および卵巣嚢腫核出術 oophorectomy and ovarian cystectomy
3. 膀胱切除術後の尿路変更および尿路再建 urinary diversion and reconstruction following cystectomy
4. 腹腔鏡下／ロボット支援下根治的膀胱全摘術 laparoscopic robotic assisted radical cystectomy
5. 尿路上皮（移行上皮）膀胱癌のマネージメントの概要 overview of the management of urothelial transitional cell bladder cancer

English Journal

Comment: «Laparoendoscopic Radical Cystectomy With Orthotopic Ileal Neobladder Through Umbilical Single Port»

Kaouk JH, Autorino R.SourceCenter for Laparoscopic and Robotic Surgery, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, Estados Unidos.
Actas urologicas espanolas.Actas Urol Esp.2012 Oct;36(9):562-563. Epub 2012 Jul 24.
PMID 22835664

Laparoendoscopic Radical Cystectomy with Orthotopic Ileal Neobladder through Umbilical Single Port.

Angulo JC, Cáceres F, Arance I, Romero I, Ramón De Fata F, Cabrera PM.SourceHospital Universitario de Getafe, Fundación para la Investigación Biomédica, Servicio Madrileño de Salud, Universidad Europea de Madrid, Madrid.
Actas urologicas espanolas.Actas Urol Esp.2012 Oct;36(9):554-561. Epub 2012 Jun 14.
CONTEXT: Radical cystectomy with orthotopic derivation is one of the most complex urological techniques, although laparoscopic surgery has made this procedure increasingly less invasive.OBJECTIVE: To provide an up-dated review of the single port approach to carry out radical surgery due to bladder c
PMID 22704787

Japanese Journal

A Case of Metastatic Urachal Cancer Including a Neuroendocrine Component Treated with Gemcitabine, Cisplatin and Paclitaxel Combination Chemotherapy

Acta Medica Okayama 70(3), 223-227, 2016-06
NAID 120005770692

膀胱Inflammatory myofibroblastic tumorの1例

泌尿器科紀要 = Acta urologica Japonica 62(4), 201-204, 2016-04
NAID 120005758251

ISP-32-3 Hysterectomy does not change recurrence rate of ovarian endometrioma after cystectomy(Group 32 Endometriosis/Endometrium,International Session Poster)