Juretzka Margrit M, Horton Faith R, Abu-Rustum Nadeem R, Sonoda Yukio, Jarnagin William R, Flores Raja M, Barakat Richard, Chi Dennis S
Gynecology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA.
Gynecol Oncol. 2006 Mar;100(3):618-20. doi: 10.1016/j.ygyno.2005.09.006. Epub 2005 Oct 14.
Previous studies have reported the results of full-thickness diaphragmatic resection for ovarian cancer metastatic to the diaphragm.
: We present the first case of an extensive full-thickness diaphragmatic resection performed using the EndoGIA [US Surgical Corp., Norwalk, CT] staple device followed by successful reconstruction using a Gore-tex (W.L. Gore and Associates, Inc., Newark, DE) graft.
Full-thickness diaphragmatic resection using the EndoGIA stapling device is a safe and effective method to completely remove extensive tumor during cytoreductive surgery. Use of the stapler expeditiously assists in removal of the specimen with minimal blood loss. In cases where large defects cannot be repaired primarily, a Gore-tex patch should be used.
既往研究报道了针对转移至膈肌的卵巢癌进行全层膈肌切除术的结果。
我们呈现首例使用EndoGIA[美国外科公司，诺沃克，康涅狄格州]吻合器进行广泛全层膈肌切除，随后使用戈尔特斯（W.L.戈尔联合公司，纽瓦克，特拉华州）移植物成功重建的病例。
使用EndoGIA吻合器进行全层膈肌切除是在肿瘤细胞减灭术中完全切除广泛肿瘤的一种安全有效的方法。使用吻合器能快速协助切除标本，且失血极少。在无法一期修复大的缺损的情况下，应使用戈尔特斯补片。
