Heintz A P, Hacker N F, Berek J S, Rose T P, Munoz A K, Lagasse L D
Obstet Gynecol. 1986 Jun;67(6):783-8. doi: 10.1097/00006250-198606000-00007.
Between 1974 and 1984, 70 patients underwent primary cytoreductive surgery for ovarian carcinoma at the University of California at Los Angeles. During the period of January 1974 to December 1978, optimal cytoreduction was achieved in 56.4% of the patients. With increased experience, this figure improved to 87.1% in the period of January 1979 to December 1983. The most common morbidity associated with the procedure was fever and prolonged ileus. Bowel resection was required in 20% of the patients and was not associated with increased morbidity. More liberal use of the end-to-end anastomosis stapling device facilitated low colon reanastomosis without colostomy, which contributed to the improved patient acceptance.
1974年至1984年间,70例卵巢癌患者在加利福尼亚大学洛杉矶分校接受了初次肿瘤细胞减灭术。在1974年1月至1978年12月期间,56.4%的患者实现了最佳肿瘤细胞减灭。随着经验的增加,这一数字在1979年1月至1983年12月期间提高到了87.1%。与该手术相关的最常见并发症是发热和肠梗阻持续时间延长。20%的患者需要进行肠切除,且这与并发症增加无关。更广泛地使用端端吻合吻合器有助于低位结肠再吻合而无需结肠造口术,这提高了患者的接受度。