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根治性膀胱切除术,若癌瘤侵犯腹膜,宜将膀胱和腹膜一并切除。切除后的膀胱残腔,单纯用腹膜覆盖往往有困难。我们用带蒂大网膜填塞残腔并修复腹膜缺损7例,对防止感染和预防并发症取得了良好效果。临床资料我们从1973年至1987年底,用带蒂大网膜填塞膀胱全切术后残腔并修复腹膜缺损7例(均为男性)。同期行膀胱全切术单纯用腹膜覆盖的9例(均为男性)。所有病例均系浸润性膀胱癌,行根治性膀胱切除术,尿流改道采用回肠代膀胱术。手术方法根治性膀胱切除术,系常规切除膀胱、前列腺和被浸润的腹膜,完成回肠代膀胱术后,视腹膜缺损大小切取大网膜。其方法是,先游离横结肠网
Radical cystectomy, if the cancer peritoneum violations, should be removed together with the bladder and peritoneum. Residual bladder after resection, simply with peritoneal coverage is often difficult. We use pedicled omentum to fill the residual cavity and repair peritoneal defects in 7 cases, to prevent infection and prevent complications have achieved good results. Clinical data From 1973 to the end of 1987, we used pedicled omentum to fill the residual cavity of the bladder and repair peritoneal defects in 7 cases (both men). In the same period, 9 patients underwent total cystectomy with peritoneum (all men). All cases were invasive bladder cancer, radical cystectomy, urinary diversion with ileal neobladder. Surgical radical cystectomy, the Department of conventional removal of the bladder, prostate and infiltration of the peritoneum, the ileum after completion of the bladder surgery, depending on the size of the peritoneal laparoscopic removal of the omentum. The method is to first free transverse colon network