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盆腔脏器清除术——对该手术的重新思考

Pelvic exenteration--reconsidering the procedure.

作者信息

Bacalbasa N, Balescu I

机构信息

"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

"Ponderas" Hospital, Bucharest, Romania.

出版信息

J Med Life. 2015 Apr-Jun;8(2):146-9.

PMID:25866569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4392106/
Abstract

Pelvic exenteration remains one of the most destructive surgical procedures in gynecologic oncology, performed in patients with locally advanced malignancies who were considered for a long time as unresectable. However, for these patients, an aggressive surgical approach seems to be the only potential curative solution. This is a literature review of the most important studies, which analyzes the benefits and the secondary risks of this demanding procedure.

摘要

盆腔脏器清除术仍然是妇科肿瘤学中最具破坏性的外科手术之一,适用于那些长期以来被认为无法切除的局部晚期恶性肿瘤患者。然而,对于这些患者来说,积极的手术方法似乎是唯一可能的治愈方案。这是一篇对最重要研究的文献综述,分析了这种高要求手术的益处和继发性风险。

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Pelvic exenteration--reconsidering the procedure.盆腔脏器清除术——对该手术的重新思考
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2
[Pelvic exenteration--our experience].[盆腔脏器清除术——我们的经验]
Akush Ginekol (Sofiia). 2015;54(9):19-23.
3
Major complications of urinary diversion after pelvic exenteration for gynecologic malignancies: a 23-year mono-institutional experience in 124 patients.妇科恶性肿瘤盆腔廓清术后尿流改道的主要并发症:124例患者23年单中心经验
Gynecol Oncol. 2004 Feb;92(2):680-3. doi: 10.1016/j.ygyno.2003.11.003.
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Minimally Invasive Pelvic Exenteration for Gynecologic Malignancies: A Multi-Institutional Case Series and Review of the Literature.微创盆腔廓清术治疗妇科恶性肿瘤:多机构病例系列及文献复习。
J Minim Invasive Gynecol. 2019 Nov-Dec;26(7):1316-1326. doi: 10.1016/j.jmig.2018.12.019. Epub 2019 Jan 4.
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Pelvic Exenteration in Advanced Gynecologic Malignancies - Who Will Benefit?盆腔廓清术治疗晚期妇科恶性肿瘤-谁将受益?
Anticancer Res. 2021 Jun;41(6):3037-3043. doi: 10.21873/anticanres.15086.
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Laparoscopic pelvic exenteration for gynaecological malignancy: is there any advantage?腹腔镜盆腔廓清术治疗妇科恶性肿瘤:有优势吗?
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Utilization and perioperative outcome of minimally invasive pelvic exenteration in gynecologic malignancies: A national study in the United States.妇科恶性肿瘤微创骨盆切除术的利用和围手术期结果:美国的一项全国性研究。
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[Pelvic exenteration in the treatment of advanced tumours of the small pelvis].[盆腔脏器切除术治疗骨盆晚期肿瘤]
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Role of MR Imaging and FDG PET/CT in Selection and Follow-up of Patients Treated with Pelvic Exenteration for Gynecologic Malignancies.磁共振成像(MR)及氟代脱氧葡萄糖正电子发射断层显像/计算机断层扫描(FDG PET/CT)在妇科恶性肿瘤盆腔脏器清除术治疗患者的选择及随访中的作用
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Laparoscopic posterior exenteration in advanced gynecologic malignant disease.腹腔镜下晚期妇科恶性肿瘤后盆腔脏器切除术。
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Porous poly-l-lactide-co-ɛ-caprolactone scaffold: a novel biomaterial for vaginal tissue engineering.多孔聚左旋丙交酯-共-ε-己内酯支架:一种用于阴道组织工程的新型生物材料。
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本文引用的文献

1
Indications and long-term clinical outcomes in 282 patients with pelvic exenteration for advanced or recurrent cervical cancer.282 例晚期或复发性宫颈癌盆腔廓清术患者的适应证及长期临床结局。
Gynecol Oncol. 2012 Jun;125(3):604-9. doi: 10.1016/j.ygyno.2012.03.001. Epub 2012 Mar 7.
2
Exenteration in the treatment of Stage III/IV vulvar cancer.广泛性外阴切除术治疗 III/IV 期外阴癌。
Gynecol Oncol. 2012 Jan;124(1):87-91. doi: 10.1016/j.ygyno.2011.09.014. Epub 2011 Oct 10.
3
Exenteration as a primary treatment for locally advanced cervical cancer: long-term results and prognostic factors.根治性子宫切除术作为局部晚期宫颈癌的主要治疗方法:长期结果和预后因素。
Am J Obstet Gynecol. 2011 Aug;205(2):148.e1-6. doi: 10.1016/j.ajog.2011.03.057. Epub 2011 Apr 7.
4
Pelvic exenteration: ten-year experience at the European Institute of Oncology in Milan.盆腔脏器切除术:米兰欧洲肿瘤研究所的十年经验
Gynecol Oncol. 2009 Jul;114(1):64-8. doi: 10.1016/j.ygyno.2009.03.029. Epub 2009 May 2.
5
Complete excision of pelvic viscera for advanced carcinoma; a one-stage abdominoperineal operation with end colostomy and bilateral ureteral implantation into the colon above the colostomy.晚期癌肿盆腔脏器的根治性切除;一期腹会阴联合手术,行乙状结肠造口术,并将双侧输尿管植入造口上方的结肠。
Cancer. 1948 Jul;1(2):177-83. doi: 10.1002/1097-0142(194807)1:2<177::aid-cncr2820010203>3.0.co;2-a.
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Primary pelvic exenteration in cervical cancer patients.宫颈癌患者的原发性盆腔脏器清除术。
Gynecol Oncol. 2008 Nov;111(2 Suppl):S9-12. doi: 10.1016/j.ygyno.2008.07.041. Epub 2008 Sep 5.
7
Laterally extended endopelvic resection (LEER)--principles and practice.侧方扩大盆腔切除术(LEER)——原则与实践
Gynecol Oncol. 2008 Nov;111(2 Suppl):S13-7. doi: 10.1016/j.ygyno.2008.07.022. Epub 2008 Aug 23.
8
Pelvic exenteration for gynaecological tumours: achievements and unanswered questions.妇科肿瘤盆腔脏器切除术:成就与未解决的问题
Lancet Oncol. 2006 Oct;7(10):837-47. doi: 10.1016/S1470-2045(06)70903-2.
9
Indications for primary and secondary exenterations in patients with cervical cancer.宫颈癌患者原发和继发眼眶内容剜除术的适应症。
Gynecol Oncol. 2006 Dec;103(3):1023-30. doi: 10.1016/j.ygyno.2006.06.027. Epub 2006 Aug 4.
10
Ultra-radical compartmentalized surgery in gynaecological oncology.妇科肿瘤学中的超根治性分区手术
Eur J Surg Oncol. 2006 Oct;32(8):859-65. doi: 10.1016/j.ejso.2006.03.040. Epub 2006 May 11.