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1
Association of Diaphragmatic Surgery as Part of Cytoreductive Effort in Advanced Stage Ovarian Cancer.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
In Vivo. 2018 Mar-Apr;32(2):431-436. doi: 10.21873/invivo.11258.
2
Diaphragmatic surgery during primary debulking in 89 patients with stage IIIB-IV epithelial ovarian cancer.在 89 例 IIIB-IV 期上皮性卵巢癌患者的初次肿瘤细胞减灭术中进行膈肌手术。
Gynecol Oncol. 2010 Mar;116(3):489-96. doi: 10.1016/j.ygyno.2009.07.014. Epub 2009 Dec 1.
3
Diaphragm disease in advanced ovarian cancer: Predictability of pre-operative imaging and safety of surgical intervention.晚期卵巢癌中的膈肌疾病：术前影像学检查的可预测性及手术干预的安全性
Eur J Obstet Gynecol Reprod Biol. 2018 Jul;226:47-53. doi: 10.1016/j.ejogrb.2018.05.024. Epub 2018 May 18.
4
Diaphragmatic Surgery in Advanced Ovarian, Tubal and Peritoneal Cancer. A 7-Year Retrospective Analysis of the Tumor Bank Ovarian Cancer Network.晚期卵巢癌、输卵管癌和腹膜癌的膈肌手术。卵巢癌网络肿瘤库的7年回顾性分析。
Anticancer Res. 2016 Sep;36(9):4707-13. doi: 10.21873/anticanres.11025.
5
Primary debulking surgery of the upper abdomen and the diaphragm, with a plasma device surgery system, for advanced ovarian cancer.采用等离子设备手术系统对上腹部和膈肌进行初次肿瘤减灭术，治疗晚期卵巢癌。
Gynecol Oncol. 2017 Jan;144(1):223-224. doi: 10.1016/j.ygyno.2016.10.030. Epub 2016 Nov 9.
6
Success rate and safety of tumor debulking with diaphragmatic surgery for advanced epithelial ovarian cancer and peritoneal cancer.晚期上皮性卵巢癌和腹膜癌行膈肌手术肿瘤减灭术的成功率及安全性
Arch Gynecol Obstet. 2015 Mar;291(3):641-6. doi: 10.1007/s00404-014-3446-7. Epub 2014 Sep 4.
7
Cytoreduction of diaphragmatic metastasis from ovarian cancer with involvement of the liver using a ventral liver mobilization technique.采用腹侧肝脏游离技术减少卵巢癌合并肝脏转移累及膈肌的肿瘤细胞减灭术。
Gynecol Oncol. 2016 Mar;140(3):577-9. doi: 10.1016/j.ygyno.2016.01.017. Epub 2016 Jan 19.
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The role of diaphragmatic surgery during interval debulking after neoadjuvant chemotherapy: an analysis of 74 patients with advanced epithelial ovarian cancer.新辅助化疗后间隔减瘤术中膈肌手术的作用：74 例晚期上皮性卵巢癌患者的分析。
Int J Gynecol Cancer. 2010 May;20(4):542-51. doi: 10.1111/IGC.0b013e3181d4de23.
9
Diaphragmatic peritonectomy vs. full thickness resection with pleurectomy during Visceral-Peritoneal Debulking (VPD) in 100 consecutive patients with stage IIIC-IV ovarian cancer: A surgical-histological analysis.膈肌腹膜切除术与全层切除术联合胸膜切除术在 100 例 IIIC-IV 期卵巢癌内脏腹膜减瘤术中的应用：一项手术-组织学分析。
Gynecol Oncol. 2016 Mar;140(3):430-5. doi: 10.1016/j.ygyno.2015.12.004. Epub 2015 Dec 12.
10
Surgical procedures and morbidities of diaphragmatic surgery in patients undergoing initial or interval debulking surgery for advanced-stage ovarian cancer.初治或间隔减瘤术治疗晚期卵巢癌患者的膈肌手术的手术步骤和并发症。
J Am Coll Surg. 2010 Apr;210(4):509-14. doi: 10.1016/j.jamcollsurg.2010.01.011.

引用本文的文献

1
Application of J-Plasma in the excision of diaphragmatic lesions as part of complete cytoreduction in patients with advanced ovarian cancer.J-Plasma在晚期卵巢癌患者完全肿瘤细胞减灭术中用于膈肌病变切除的应用。
Mol Clin Oncol. 2022 May 18;17(1):113. doi: 10.3892/mco.2022.2546. eCollection 2022 Jul.
2
Right Upper Abdominal Resections in Advanced Stage Ovarian Cancer.晚期卵巢癌的右上腹部切除术。
In Vivo. 2020 May-Jun;34(3):1487-1492. doi: 10.21873/invivo.11934. Epub 2020 Apr 29.

本文引用的文献

1
Diaphragmatic Surgery in Advanced Ovarian, Tubal and Peritoneal Cancer. A 7-Year Retrospective Analysis of the Tumor Bank Ovarian Cancer Network.晚期卵巢癌、输卵管癌和腹膜癌的膈肌手术。卵巢癌网络肿瘤库的7年回顾性分析。
Anticancer Res. 2016 Sep;36(9):4707-13. doi: 10.21873/anticanres.11025.
2
Hepatic Resection for Liver Metastases from Cervical Cancer Is Safe and May Have Survival Benefit.宫颈癌肝转移灶的肝切除术安全且可能具有生存获益。
Anticancer Res. 2016 Jun;36(6):3023-7.
3
Diaphragmatic peritonectomy vs. full thickness resection with pleurectomy during Visceral-Peritoneal Debulking (VPD) in 100 consecutive patients with stage IIIC-IV ovarian cancer: A surgical-histological analysis.膈肌腹膜切除术与全层切除术联合胸膜切除术在 100 例 IIIC-IV 期卵巢癌内脏腹膜减瘤术中的应用：一项手术-组织学分析。
Gynecol Oncol. 2016 Mar;140(3):430-5. doi: 10.1016/j.ygyno.2015.12.004. Epub 2015 Dec 12.
4
Long-term Survivors After Liver Resection for Ovarian Cancer Liver Metastases.卵巢癌肝转移肝切除术后的长期生存者
Anticancer Res. 2015 Dec;35(12):6919-23.
5
Hematogenous Splenic Metastases as an Independent Negative Prognosis Factor at the Moment of Primary Cytoreduction in Advanced Stage Epithelial Ovarian Cancer--A Single Center Experience.血行性脾转移作为晚期上皮性卵巢癌初次肿瘤细胞减灭术时独立的负面预后因素——单中心经验
Anticancer Res. 2015 Oct;35(10):5649-54.
6
Splenectomy as Part of Cytoreductive Surgery in Recurrent Epithelial Ovarian Cancer.脾切除术作为复发性上皮性卵巢癌细胞减灭术的一部分
Anticancer Res. 2015 Sep;35(9):5097-101.
7
Liver resection for ovarian cancer liver metastases as part of cytoreductive surgery is safe and may bring survival benefit.作为肿瘤细胞减灭术一部分的卵巢癌肝转移灶肝切除术是安全的，且可能带来生存获益。
World J Surg Oncol. 2015 Aug 5;13:235. doi: 10.1186/s12957-015-0652-0.
8
Pancreatic Resection as Part of Cytoreductive Surgery in Advanced-stage and Recurrent Epithelial Ovarian Cancer--A Single-center Experience.胰腺癌切除术作为晚期和复发性上皮性卵巢癌细胞减灭术的一部分——单中心经验
Anticancer Res. 2015 Jul;35(7):4125-9.
9
Results of Primary Cytoreductive Surgery in Advanced-stage Epithelial Ovarian Cancer: A Single-center Experience.晚期上皮性卵巢癌初次肿瘤细胞减灭术的结果：单中心经验
Anticancer Res. 2015 Jul;35(7):4099-104.
10
Initial incomplete surgery modifies prognosis in advanced ovarian cancer regardless of subsequent management.初始手术不完整会改变晚期卵巢癌的预后，无论后续如何处理。
Anticancer Res. 2015 Apr;35(4):2315-20.

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.

DOI:10.21873/invivo.11258
PMID:29475933
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5905218/
Abstract

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.

摘要

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。