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改良的根治性膀胱切除术保留了前列腺尖部被膜,这样,有利于离断的回盲肠与尿道吻合,并且保留了阴茎的勃起功能。应用经耻骨径路,可增加暴露面积,有利于解剖和吻合。从1983年2月至1985年1月我们为15例T_1～T_4期的膀胱肿瘤病人作了这个手术。13例术前接受4000rad的放疗,2例是6000rad。全部病人术前均作了化疗。手术方法简介如下:经左侧旁正中切口,向下延长达阴茎根部两侧,在耻骨结节外0.5cm处,楔形切除耻骨联
A modified radical cystectomy preserves the apex of the prostatic capsule so that the ileocecal cecum, which is conducive to interruption, fits the urethra and retains the erectile function of the penis. Application by the pubic bone pathways, can increase the exposed area, is conducive to anatomy and anastomosis. From February 1983 to January 1985, we performed this procedure for 15 patients with T_1-T_4 bladder cancer. Thirteen patients underwent radiotherapy of 4 000 rad before surgery and 2 patients were 6 000 rad. All patients were preoperative chemotherapy. Surgery is described as follows: The left side of the median incision, extending down to reach both sides of the root of the penis, 0.5cm at the pubic tubercle, wedge resection pubis