膈肌手术作为晚期卵巢癌细胞减灭术一部分的相关性研究
Association of Diaphragmatic Surgery as Part of Cytoreductive Effort in Advanced Stage Ovarian Cancer.
作者信息
Bacalbasa Nicolae, Balescu Irina, Balalau Cristian, Ionescu Olivia, Stoica Claudia
机构信息
Department of Obstetrics and Gynecology "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Department of General Surgery "Ponderas" Academic Hospital, Bucharest, Romania
出版信息
In Vivo. 2018 Mar-Apr;32(2):431-436. doi: 10.21873/invivo.11258.
BACKGROUND/AIM: Diaphragmatic surgery in advanced-stage ovarian cancer has been considered since long time to increase the rates of postoperative complications. However, improvement of surgical techniques and perioperative management of these patients has lead in the last decade to a safe association of such procedures as part of debulking process. The aim of the current paper was to report our experience regarding the role of diaphragmatic resections as part of debulking surgery for advanced stage ovarian cancer.
MATERIALS AND METHODS
Between 2014 and 2016 diaphragmatic surgery was performed in 22 cases with advanced stage ovarian cancer.
RESULTS
Diaphragmatic surgery consisted of diaphragmatic peritoneal resection in 10 cases, full thickness diaphragmatic resections in four cases and coagulation of peritoneal nodules in eight cases. In all but two cases debulking surgery to no residual disease was achieved. Other upper abdominal resections consisted of splenectomy - in four cases, liver resections - in three cases, glissonian capsule resections - in eight cases, distal pancreatectomy - in one case and partial gastrectomies in two cases. The postoperative outcomes were similar irrespective of type of diaphragmatic surgical procedure.
CONCLUSION
Diaphragmatic surgery is a crucial procedure which can be safely associated as part of debulking surgery for advanced stage ovarian cancer.
背景/目的：长期以来，晚期卵巢癌的膈肌手术被认为会增加术后并发症的发生率。然而，在过去十年中，手术技术的改进以及这些患者围手术期管理的改善，使得此类手术作为减瘤过程的一部分得以安全联合进行。本文的目的是报告我们关于膈肌切除术作为晚期卵巢癌减瘤手术一部分的作用的经验。
材料与方法
2014年至2016年期间，对22例晚期卵巢癌患者进行了膈肌手术。
结果
膈肌手术包括10例膈肌腹膜切除术、4例全层膈肌切除术和8例腹膜结节凝固术。除2例患者外，其余所有患者均实现了无残留疾病的减瘤手术。其他上腹部切除术包括4例脾切除术、3例肝切除术、8例肝门部包膜切除术、1例胰体尾切除术和2例部分胃切除术。无论膈肌手术的类型如何，术后结果相似。
结论
膈肌手术是一种关键手术，作为晚期卵巢癌减瘤手术的一部分可以安全联合进行。
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