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1986年2月至1989年12月作者对103例患者施行可控性回肠膀胱术(Kock),男性81例,女性22例,年令30～78岁,平均63岁,其中膀胱肿瘤96例,前列腺癌2例,乙状结肠癌2例,尿道癌,恶性淋巴瘤,卵巢癌各1例。方法:96例膀胱癌行全膀胱切除加盆腔淋巴结清扫术,并施行(Kock)手术,卵巢及乙状结肠癌作盆腔内脏器全切除术,行Kock手术及建立人工肛门、Kock手术操作基本按Skinner改良法进行。结果:103例术后经观察1～48个月,平均17个月,手术死亡2例(2%),分别为心功能不全和术后7天突然休克而死亡,术后2个月因肿瘤原因死亡1
From February 1986 to December 1989, 103 patients underwent controlled ileal bladder surgery (Kock), 81 males and 22 females, aged 30 to 78 years (mean, 63 years), including 96 bladder tumors, 2 cases of prostate cancer, 2 cases of sigmoid colon cancer, 1 case of urethral cancer, malignant lymphoma and ovarian cancer. Methods: Ninety-six cases of bladder cancer underwent total cystectomy plus pelvic lymphadenectomy. Kock operation, ovarian and sigmoid colon cancer were performed pelvic organ excision. Kock operation and artificial anus were performed. Kock operation was basically modified by Skinner Law. Results: 103 cases were observed for 1-48 months postoperatively, with an average of 17 months. Two patients died of cardiac insufficiency and sudden shock at 7 days postoperatively. Two patients died of tumor at 2 months after operation. Cause of death 1