尿路放射線障害の修復について : 自験4症例とその反省

概要

論文の詳細を見る
Four representative cases of severe irradiation injury in urinary tract have been reported. In one patient who had received an intraoperative regional irradiation for bladder cancer, a Bricker's operation was successful because the damage was limited. On the contrary, external radiation can cause extensive damage in the pelvic organs. In such 3 patients, Bricker's ileal diversion, Boari's operation and ureteroneocystostomy resulted in failure because of fistula formation at the anastomotic sites. These fistulas were followed by fatal peritonitis in 2 patients. Irradiation injury may be subclinical. It can progress rapidly after surgical interventions. Preand intraoperative diagnosis of the injury and careful selection of surgical procedure are important in prevention of possible complications following surgery.
社団法人日本泌尿器科学会の論文