A Review on Metabolic Complications and Management after Radical Cystectomy and Orthotopic Neoblastectomy
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摘要: 膀胱癌是泌尿系常见的恶性肿瘤之一,可分为非肌层浸润性膀胱癌以及肌层浸润性膀胱癌。根治性膀胱切除术是肌层浸润性膀胱癌的首选治疗方案;原位新膀胱术目前已经成为根治性膀胱切除术后首选的尿流改道方式,因术中需使用不同肠段,术后可能出现不同的代谢相关并发症,这些并发症也成为降低患者术后生活质量的原因之一。现对原位新膀胱术后代谢并发症的主要类型以及处理进展进行综述。Abstract: Bladder cancer is one of the common malignant tumors of urinary system, which can be divided into two categoties, non-muscle-invasive bladder cancer and muscle-invasive bladder cancer. Radical cystectomy is the treatment of choice for muscle-invasive bladder cancer. At present, orthotopic neobasical bladder surgery has become the preferred method of urinary diversion after radical cystectomy. Due to the use of different intestinal segments during surgery, different metabolic complications may occur after surgery, which also become one of the reasons for reducing the quality of life of patients after surgery. This article reviews the main types and management progress of metabolic complications after orthotopic neobasical bladder surgery.
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