Nagai Shuntaro, Nagayoshi Kinuko, Mizuuchi Yusuke, Fujita Hayato, Ohuchida Kenoki, Ohtsuka Takao, Imai Reiko, Nakamura Masafumi
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Department of Bone and Soft Tissue Tumors, QST Hospital, National Institutes for Quantum and Radiological Science and Technology, Chiba, Japan.
Asian J Endosc Surg. 2020 Oct;13(4):582-585. doi: 10.1111/ases.12792. Epub 2020 Feb 25.
Recently, several scholars have demonstrated the efficacy of carbon ion radiotherapy (CIRT). To treat abdominal or pelvic tumors by CIRT, it is necessary to separate the tumor from the adjacent organs. Surgical placement of a GORE-TEX sheet as a spacer has been reported as a separation method. Usually, surgical spacer placement is done by open surgery. Here, we report a case of surgical spacer placement undertaken by a "pure" laparoscopic procedure. A 47-year-old man with recurrent sacral chordoma was referred for surgical spacer placement before CIRT. Laparoscopic dissection of the rectum and placement of a GORE-TEX sheet as a spacer were successfully performed. Surgical spacer placement by a pure laparoscopic procedure was safe and effective, and it seems to play an important part before CIRT.
最近，几位学者已经证明了碳离子放射治疗（CIRT）的疗效。要通过CIRT治疗腹部或盆腔肿瘤，有必要将肿瘤与相邻器官分离。据报道，手术放置GORE-TEX片作为间隔物是一种分离方法。通常，手术间隔物放置是通过开放手术进行的。在此，我们报告一例通过“纯”腹腔镜手术进行手术间隔物放置的病例。一名47岁复发性骶骨脊索瘤男性患者在接受CIRT之前被转诊进行手术间隔物放置。成功进行了腹腔镜下直肠解剖并放置了GORE-TEX片作为间隔物。通过纯腹腔镜手术进行手术间隔物放置是安全有效的，并且似乎在CIRT之前起着重要作用。
