1例腹腔镜下改良Bacon术治疗直肠尿道瘘的病例报告  

A case report of laparoscopic modified Bacon procedure for the treatment of rectourethral fistula

作　　者：徐晓佳 黄平 Xu Xiaojia;Huang Ping(Department of Anorectal Surgery,Sir Run Run Hospital Affiliated to Nanjing Medical University,Nanjing 211100,Jiangsu,China)

机构地区：[1]南京医科大学附属逸夫医院肛肠外科,江苏南京211100

出　　处：《结直肠肛门外科》2024年第4期488-492,共5页Journal of Colorectal & Anal Surgery

摘　　要：直肠尿道瘘是指直肠与尿道之间形成的病理性管道,尿液中混有粪便、漏尿、反复发作的泌尿系统感染是患者就诊的主要原因。直肠尿道瘘修补手术入路众多,经腹、经会阴、经肛门括约肌、经肛门及联合入路均有报道。笔者团队收治了1例腹腔镜下前列腺根治性切除术后发生直肠尿道瘘的患者,采用腹腔镜下改良Bacon术修补瘘口,效果良好,无远期复发。本文报告该患者的临床诊治过程,以期为临床同类患者的治疗提供参考。Rectourethral fistula refers to a pathological communication formed between the rectum and the urethra.Fecaluria,urinary incontinence,and recurrent urinary tract infections are the main reasons for patients to seek medical attention.Multiple surgical approaches for rectourethral fistula repair have been reported,including transabdominal,transperineal,transsphincteric,transanal,and combined approaches.Our team encountered a case of rectourethral fistula that developed after laparoscopic radical prostatectomy.The fistula was successfully repaired using a laparoscopic modified Bacon procedure,with excellent outcomes and no long-term recurrence.This article reports the clinical diagnosis,treatment process,and outcome of this patient,aiming to provide reference for the treatment of similar clinical patients.

关 键 词：直肠尿道瘘 改良BACON术 瘘口修补 

分 类 号：R699.6[医药卫生—泌尿科学]