保留直肠乙状结肠的整块盆腔切除术治疗固定性卵巢肿瘤：手术技术及围手术期和肿瘤学结局
Rectosigmoid sparing en bloc pelvic resection for fixed ovarian tumors: Surgical technique and perioperative and oncologic outcomes.
作者信息
Shan Ying, Jin Ying, Li Yan, Gu Yu, Wang Wei, Pan Lingya
机构信息
Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric and Gynecologic Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
出版信息
Front Oncol. 2022 Aug 22;12:980050. doi: 10.3389/fonc.2022.980050. eCollection 2022.
PURPOSE
Patients with advanced ovarian cancer often undergo en bloc rectosigmoid resection with total hysterectomy to completely debulk the pelvis. We describe a unique rectosigmoid sparing en bloc pelvic resection technique for fixed ovarian tumors infiltrating the colon wall.
METHODS
From July 2020 to June 2021, 20 patients with advanced epithelial ovarian cancer (EOC) underwent rectosigmoid sparing en bloc pelvic resection successfully at our institution. We summarized our surgical technique and the peri-operative and oncological outcomes.
RESULTS
Twenty cases with bowel infiltration achieved en bloc pelvic resection with rectosigmoid tumorectomy in a centripetal fashion. Only two patients required mucosal repair. None of the patients experienced any complications associated with en bloc resection. No pelvic recurrence occurred within the median follow-up time of 12 months.
CONCLUSION
Rectosigmoid sparing en bloc pelvic resection may be feasible for select patients with fixed ovarian tumors infiltrating the colon wall.
目的
晚期卵巢癌患者常接受乙状结肠直肠整块切除联合全子宫切除术，以彻底清除盆腔病灶。我们描述了一种独特的保留乙状结肠直肠的整块盆腔切除术技术，用于治疗浸润结肠壁的固定性卵巢肿瘤。
方法
2020年7月至2021年6月，20例晚期上皮性卵巢癌（EOC）患者在我院成功接受了保留乙状结肠直肠的整块盆腔切除术。我们总结了手术技术以及围手术期和肿瘤学结局。
结果
20例肠浸润患者以向心性方式实现了乙状结肠直肠肿瘤切除的整块盆腔切除。仅2例患者需要进行黏膜修复。所有患者均未出现与整块切除相关的任何并发症。在12个月的中位随访期内未发生盆腔复发。
结论
对于部分浸润结肠壁的固定性卵巢肿瘤患者，保留乙状结肠直肠的整块盆腔切除术可能是可行的。
Zotero 插件