Adelson M D
Department of Obstetrics and Gynecology, State University of New York Health Science Center, Syracuse.
J Reprod Med. 1992 Nov;37(11):917-20.
The Cavitron Ultrasonic Surgical Aspirator (Cavitron) was used to reduce the volume of splenic metastases in seven patients. Six patients had epithelial carcinoma of the ovary, and one had peritoneal mesothelioma. All patients had stage IIIC disease. Initially, six patients had malignant disease > 15 mm in diameter (of any single nodule), and one had disease 6-15 mm in diameter. In order to avoid resection of the spleen, cytoreduction could not be performed by standard means. After using the Cavitron, three patients had no gross residual disease, and four patients had disease 1-5 mm in diameter. No complication resulted from cytoreduction of splenic disease using the Cavitron, and splenectomy was not performed in any case. The Cavitron is invaluable in obtaining minimal residual disease of splenic metastases without performing splenectomy.
使用Cavitron超声手术吸引器（Cavitron）减少了7例患者脾脏转移灶的体积。6例患者患有卵巢上皮癌，1例患有腹膜间皮瘤。所有患者均为IIIC期疾病。最初，6例患者有直径>15mm的恶性病灶（任何单个结节），1例患者病灶直径为6-15mm。为避免切除脾脏，无法通过标准方法进行肿瘤细胞减灭术。使用Cavitron后，3例患者无肉眼可见的残留病灶，4例患者病灶直径为1-5mm。使用Cavitron进行脾脏疾病的肿瘤细胞减灭术未导致任何并发症，且无一例进行脾切除术。Cavitron在不进行脾切除术的情况下获得脾脏转移灶的最小残留病灶方面具有极高价值。
