Park Soo Jin, Kim Hee Seung
Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.
Gland Surg. 2021 Mar;10(3):1276-1278. doi: 10.21037/gs-2019-ursoc-03.
Tumors infiltrating the recto-sigmoid colon are commonly detected during cytoreductive surgery in patients with advanced ovarian cancer. Although radical excision using low anterior resection (LAR) is traditionally needed for optimal cytoreduction in the patients, LAR commonly decrease postoperative quality of life by changes of bowel habit. Since there is increasing evidence that conservative ablation of tumors on the recto-sigmoid colon may be safe and effective like LAR without compromising quality of life, we developed the surgical technique of visceral segmental serosectomy (VSS) as one of conservative ablation methods for complete resection of serosal implants on the recto-sigmoid colon and scrupulous restoration of extended serosal defect after resection. Thus, this video will show the step by step procedure of VSS during cytoreductive surgery for advanced ovarian cancer.
浸润直肠乙状结肠的肿瘤在晚期卵巢癌患者的细胞减灭术中较为常见。虽然传统上需要采用低位前切除术（LAR）进行根治性切除以实现患者的最佳细胞减灭，但LAR通常会因排便习惯改变而降低术后生活质量。由于越来越多的证据表明，对直肠乙状结肠肿瘤进行保守性切除可能像LAR一样安全有效，且不影响生活质量，我们开发了内脏节段性浆膜切除术（VSS）这一手术技术，作为一种保守性切除方法，用于完全切除直肠乙状结肠上的浆膜种植体，并在切除后细致修复扩大的浆膜缺损。因此，本视频将展示晚期卵巢癌细胞减灭术中VSS的逐步操作过程。
