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首页> 外文期刊>BMC Urology >Ureteroenteric strictures: a single center experience comparing Bricker versus Wallace ureteroileal anastomosis in patients after urinary diversion for bladder cancer
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Ureteroenteric strictures: a single center experience comparing Bricker versus Wallace ureteroileal anastomosis in patients after urinary diversion for bladder cancer

机译：输尿管肠管狭窄：比较膀胱癌后尿道转移患者中Bricker与Wallace输尿管吻合的单一中心经验

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To evaluate the outcome and complication rate in a single institution experience using the two most commonly used techniques of ureteroenteric anastomosis, the Bricker and Wallace anastomosis. A total of 137 patients underwent ileal conduit for bladder cancer. Ureters were anastomosed by two experienced surgeons, one performing a Bricker and the other, a Wallace anastomosis. Stricture was identified during clinical follow-up. Seventy-five patients underwent a Bricker anastomotic, and 65 received a Wallace anastomosis. The average age was 70 in both groups, males were predominant (66% Bricker, 70% Wallace). Follow up period was 36.5?months in Bricker group and 17?months in Wallace group. In both groups, the body mass index (BMI) was similar (26.1?kg/m2 Bricker and 26.4?kg/m2 Wallace). We observed that the stricture rate after performing the Bricker anastomosis technique was 25.3% (19/75) as compared to 7.7% (5/65) after Wallace anastomosis technique, which was statistically significant (p?=?0.001). In the Bricker group, patients with strictures had higher BMI (28.3 vs. 25.7?kg/m2, p?=?0.05). On average it took 8.5?months in the Bricker group and three months in the Wallace group (p?=?0.6) to develop stricture. The stricture rate was significantly higher when Bricker technique was applied. Although the BMI was not different in both groups, patients with a higher BMI were more likely to develop stricture. We believe that the approach of the separate and refluxing technique of Bricker anastomosis especially in obese patients poses a higher risk for anastomotic stricture formation.
机译：为了评估单一机构经验中的结局和并发症发生率，使用了两种最常用的输尿管肠吻合术，即Bricker和Wallace吻合术。共有137例患者接受了回肠导管治疗膀胱癌。两名经验丰富的外科医生将输尿管吻合，其中一位进行Bricker手术，另一位进行华莱士吻合术。在临床随访过程中发现了狭窄。 75位患者接受了Bricker吻合术，其中65位接受了华莱士吻合术。两组的平均年龄均为70岁，其中男性占多数（66％的Bricker，70％的Wallace）。 Bricker组的随访时间为36.5个月，而华莱士组的随访时间为17个月。两组的体重指数（BMI）均相似（Bricker为26.1？kg / m2，华莱士为26.4？kg / m2）。我们观察到，执行Bricker吻合技术后的狭窄率为25.3％（19/75），而相比之下，华莱士吻合技术后为7.7％（5/65），具有统计学意义（p？=？0.001）。在Bricker组中，有狭窄的患者的BMI较高（28.3 vs. 25.7 kg / m2，p = 0.05）。 Bricker组平均需要8.5个月，而Wallace组平均需要3个月（p = 0.6）。当使用Bricker技术时，狭窄率显着更高。尽管两组的BMI均无差异，但BMI较高的患者更容易出现狭窄。我们认为，Bricker吻合术特别是在肥胖患者中采用分离和回流技术的方法对吻合口狭窄形成的风险更高。

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