Department of Obstetrics & Gynecology, Massachusetts General Hospital, Boston, USA.
J Surg Oncol. 2024 Jan;129(1):126-127. doi: 10.1002/jso.27553. Epub 2023 Dec 10.
With the increasing use of neoadjuvant chemotherapy, it has also become apparent that some patients will require a less extensive interval cytoreductive surgery which could be performed as a minimally invasive procedure. This observation, and expertise with minimally invasive surgery for other indications in gynecologic oncology, has driven surgeons in the United States and other countries to perform an increasing portion of interval cytoreductive surgery using minimally invasive techniques. Further observational and trial data will continue to inform which patients are best suited for this approach.
随着新辅助化疗的应用日益增多,人们也逐渐认识到,有些患者需要进行减瘤范围较小的间隔性细胞减灭术,且该手术可以采用微创方式进行。这一观察结果,以及在妇科肿瘤学中应用微创技术治疗其他适应证的专业知识,促使美国和其他国家的外科医生采用微创技术进行越来越多的间隔性细胞减灭术。进一步的观察性和临床试验数据将继续阐明哪些患者最适合这种方法。