Department of Gynecology and Obstetrics, Valais Hospital, Av. du Grand-Champsec 80, 1951 Sion, Switzerland; Department of Pediatrics, Gynecology and Obstetrics, Geneva University Hospitals, Boulevard de la Cluse 30, 1205 Geneva, Switzerland.
Department of thoracic surgery, Valais Hospital, Av. du Grand-Champsec 80, 1951 Sion, Switzerland.
J Gynecol Obstet Hum Reprod. 2022 Sep;51(7):102430. doi: 10.1016/j.jogoh.2022.102430. Epub 2022 Jun 10.
Patients with advanced-stage ovarian cancer frequently present with peritoneal carcinomatosis, and a diaphragmatic involvement is observed in about 40% of cases. The goal of treatment includes complete surgical cytoreduction associated with systemic chemotherapy. Complete diaphragmatic cytoreduction is a crucial step and plays a major role in the overall survival of these patients. Deep infiltrating peritoneal carcinomatosis nodules are treated with diaphragmatic full-thickness resections, but these procedures involve opening the pleural cavity and are associated with a high rate of postoperative complications, such as pleural effusion and pneumothorax. A chest drain is often required, causing significant discomfort for the patients and potentially being an additional source of complications. In this study, we present a novel surgical technique to perform diaphragmatic resections using a linear stapler without opening the pleural cavity or needing a chest drain.
晚期卵巢癌患者常出现腹膜癌病，约 40%的病例存在膈肌受累。治疗目标包括与全身化疗相关的完全手术细胞减灭术。完全的膈肌细胞减灭术是一个关键步骤，对这些患者的总生存起着重要作用。深部浸润性腹膜癌病结节用膈肌全层切除术治疗，但这些手术需要打开胸腔，并且与术后并发症（如胸腔积液和气胸）的高发生率相关。通常需要放置胸腔引流管，这会给患者带来明显的不适，并可能成为并发症的另一个来源。在本研究中，我们提出了一种新的手术技术，使用线性吻合器进行膈肌切除术，无需打开胸腔或放置胸腔引流管。
