Mr. Meng had bladder cancer, and according to the surgical treatment plan, he had to have his whole bladder removed. The bladder is mainly used for urine storage and urination, and after the removal of the bladder, he could only hang a “urine bag” on his abdomen for a long time to solve the problem of urination, and Mr. Meng was very depressed when he learned about his condition, “there is no quality of life like that. But doctors were able to recreate a new bladder from his own ileum, and he was able to urinate on his own.
The incidence of bladder cancer in men is 3 to 4 times that of women Bladder cancer is a common malignant tumor of the urinary system and one of the ten most common tumors in the body, accounting for 8% of adult malignant tumors. The incidence of bladder cancer in men is 3 to 4 times that of women, which seriously endangers people’s quality of life and life.
Mr. Meng, 67 years old, came to the Second Affiliated Hospital of Anhui Medical University a few months ago because of his pain. The doctor diagnosed him with bladder cancer, which needed to be removed, and just when he felt hopeless, an unexpected surprise happened. The urologist of Anhui Second Affiliated Hospital solved his problem through “laparoscopic radical bladder resection + in situ ileal neobladder surgery”. During the surgery, the surgeon used Mr. Meng’s own ileum to reconstruct a new bladder in its original location and connect it to the urethra.
Ileal neobladder can avoid urinary extravasation Total cystectomy is the most effective treatment for invasive bladder cancer, while in situ neobladder is the most effective way to change the urinary flow after surgery and is a new technique. According to the report, for patients whose tumors have not invaded the bladder neck and whose external sphincter is good, performing “laparoscopic radical cystectomy + in situ ileal neobladder” can greatly improve patients’ quality of life and avoid urinary-fecal coexistence and urinary extravasation caused by other urinary flow diversions.
Due to Mr. Meng’s age, “laparoscopic radical cystectomy + in situ ileocystectomy” is also the first time to be performed in the Second Affiliated Hospital of An Hospital, and the operation is relatively risky. Yu Dexin, director of the Department of Urology, and Bi Liangkuan, deputy director of the hospital, made adequate preparations before the operation, proposed a plan for the various risks that are likely to occur during the operation, and had a full communication with the patient’s family, who expressed their positive cooperation.
Removal of 30 cm ileum does not affect digestion and absorption “This surgery is currently an advanced technology internationally, the normal adult ileum length of 3 to 4 meters, the removal of about 30 cm will not affect digestion and absorption.” Yu Dexin introduced that the new bladder is very close to the normal bladder in terms of size, shape and position, and function, which is a good guarantee for the patient’s quality of life in the later stages. According to Mr. Meng’s health condition, it is completely feasible to perform.
It is reported that the most important thing about in situ ileal neobladder surgery compared to traditional bladder surgery for malignant tumors is that through the surgery, patients can control their own urination. With the application of minimally invasive surgery in urology, laparoscopic total bladder resection in situ sigmoid substitution cystectomy has become a new choice of surgery for bladder cancer patients with the advantages of less trauma, faster recovery, and urine can be discharged through normal urethra. It also allows patients to return to society and improves their quality of life.