CAJ | 학술논문

根治性膀胱切除＋尿流改道术已成为肌层浸润性膀胱癌患者的标准治疗方法。目前，根治性膀胱切除尿流改道常用的术式为肠道尿流改道术。但该术式复杂、涉及器官多、创伤大导致围手术期并发症发生率及死亡率较高。术前准备可以减少并发症的发生、降低患者死亡率，从而直接影响患者手术质量及术后生活质量。自1887年BARDENHEUER首次实施根治性膀胱切除术以来，随着术式的不断完善，患者术前准备也随之发生巨大变化。本文将对根治性膀胱全切加肠管尿流改道术术前准备的变化进行简要概述。
근치성방광절제＋뇨류개도술이성위기층침윤성방광암환자적표준치료방법。목전，근치성방광절제뇨류개도상용적술식위장도뇨류개도술。단해술식복잡、섭급기관다、창상대도치위수술기병발증발생솔급사망솔교고。술전준비가이감소병발증적발생、강저환자사망솔，종이직접영향환자수술질량급술후생활질량。자1887년BARDENHEUER수차실시근치성방광절제술이래，수착술식적불단완선，환자술전준비야수지발생거대변화。본문장대근치성방광전절가장관뇨류개도술술전준비적변화진행간요개술。
ABSTRACT:Radical cystectomy in combination with urinary diversion has been the gold standard surgical treatment for mus‐cle‐invasive bladder cancer ,which is one of the most common urological operations and is associated with increased complexity and traumas ,high incidence of perioperative complications and mortality .Adequate preoperative preparation could reduce in‐cidence of perioperative complications and mortality ,and increase operation quality and postoperative life quality .With con‐stant perfection and development of operation method since the first recorded cystectomy performed by Bardenheuer in 1887 , the preoperative preparation has been constantly improved .The paper briefly generalizes the ever‐changing preoperative prep‐aration in radical cystectomy with intestinal urinary diversion .