Department of Obstetrics and Gynecology, New York University School of Medicine, 550 First Avenue, NBV 9E2, New York, NY 10016, USA.
Oncologist. 2013;18(1):73-9. doi: 10.1634/theoncologist.2012-0328. Epub 2013 Jan 8.
The decision to undergo major palliative surgery in end-stage gynecologic cancer is made when severe disease symptoms significantly hinder quality of life. Malignant bowel obstruction, unremitting pelvic pain, fistula formation, tumor necrosis, pelvic sepsis, and chronic hemorrhage are among the reasons patients undergo palliative surgeries. This review discusses and summarizes the literature on surgical management of malignant bowel obstruction and palliative pelvic exenteration in gynecologic oncology.
当严重的疾病症状严重影响生活质量时，会做出进行晚期妇科癌症大姑息性手术的决定。恶性肠梗阻、持续的盆腔疼痛、瘘管形成、肿瘤坏死、骨盆脓毒症和慢性出血是患者接受姑息性手术的原因之一。本文讨论并总结了妇科肿瘤学中恶性肠梗阻的手术治疗和姑息性盆腔切除术的文献。
