Kim Myeong-Seon, Noh Joseph J, Lee Yoo-Young
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Gland Surg. 2021 Mar;10(3):1195-1206. doi: 10.21037/gs-19-540.
Maximal cytoreductive surgery is an important prognostic factor in advanced epithelial ovarian cancer (EOC). To achieve maximal cytoreductive surgery, en bloc pelvic resection with rectosigmoid colectomy can be an effective surgical strategy. This surgical methodology was first described in 1968 as "radical oophorectomy." Since then, it has been adopted by many medical institutions around the world, and its safety has been shown by many studies. However, research on the surgical method is still lacking due to the limited number of prospective comparative studies. We will review the journals on pelvic resection with rectosigmoid colectomy published to date and discuss its efficacy, complications, and surgical techniques of the procedures.
最大限度的肿瘤细胞减灭术是晚期上皮性卵巢癌(EOC)的一个重要预后因素。为实现最大限度的肿瘤细胞减灭术,行盆腔整块切除联合直肠乙状结肠切除术可能是一种有效的手术策略。这种手术方法最早于1968年被描述为“根治性卵巢切除术”。从那时起,它已被世界各地的许多医疗机构采用,并且许多研究已证明了其安全性。然而,由于前瞻性对照研究数量有限,关于该手术方法的研究仍然不足。我们将回顾迄今为止发表的关于盆腔切除联合直肠乙状结肠切除术的期刊文献,并讨论其疗效、并发症及手术技巧。