M. Buttarelli , G. Houvenaeghel , L. Lelièvre , J. Jacquemier , J. Guiramand , J.-R. Delpero
{"title":"在晚期卵巢癌的治疗中,骨盆后切除伴吻合是否可行和合理?","authors":"M. Buttarelli , G. Houvenaeghel , L. Lelièvre , J. Jacquemier , J. Guiramand , J.-R. Delpero","doi":"10.1016/j.anchir.2006.03.017","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>The aim of this study is to show that the removal of the rectum is not an obstacle to implement an optimal surgery in advanced epithelial cancer of the ovary.</p></div><div><h3>Material and methods</h3><p>Retrospective study on a population of 44 women with advanced epithelial cancer of the ovary. The surgery was realized between January 95 and July 03, and all surgeries requiered a posterior exenteration. This treatment was completed by chemotherapy for 36 of them.</p></div><div><h3>Results</h3><p>The median survival of this population is 36,6 months. 6/44 patients (13,6%) had post-operative complications. The completion of chemotherapy started after an average of 5,2 weeks after surgery. All the assessable patients (43/44) have an anal satisfactory continence.</p></div><div><h3>Conclusion</h3><p>The posterior exenteration, when it's necessary, for advanced epithelial cancer of the ovary must not be an obstacle to obtaint an optimal surgery. Anal continence is respected and there are no more complications. This surgical act is safe for the management of this pathology without delaying the others therapeutics and allowing a satisfactory quality of life.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 8","pages":"Pages 431-436"},"PeriodicalIF":0.0000,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2006.03.017","citationCount":"7","resultStr":"{\"title\":\"Une exentération pelvienne postérieure avec anastomose est-elle faisable et justifiée dans le traitement des cancers de l'ovaire à un stade évolué ?\",\"authors\":\"M. Buttarelli , G. Houvenaeghel , L. Lelièvre , J. Jacquemier , J. Guiramand , J.-R. Delpero\",\"doi\":\"10.1016/j.anchir.2006.03.017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>The aim of this study is to show that the removal of the rectum is not an obstacle to implement an optimal surgery in advanced epithelial cancer of the ovary.</p></div><div><h3>Material and methods</h3><p>Retrospective study on a population of 44 women with advanced epithelial cancer of the ovary. The surgery was realized between January 95 and July 03, and all surgeries requiered a posterior exenteration. This treatment was completed by chemotherapy for 36 of them.</p></div><div><h3>Results</h3><p>The median survival of this population is 36,6 months. 6/44 patients (13,6%) had post-operative complications. The completion of chemotherapy started after an average of 5,2 weeks after surgery. All the assessable patients (43/44) have an anal satisfactory continence.</p></div><div><h3>Conclusion</h3><p>The posterior exenteration, when it's necessary, for advanced epithelial cancer of the ovary must not be an obstacle to obtaint an optimal surgery. Anal continence is respected and there are no more complications. This surgical act is safe for the management of this pathology without delaying the others therapeutics and allowing a satisfactory quality of life.</p></div>\",\"PeriodicalId\":75499,\"journal\":{\"name\":\"Annales de chirurgie\",\"volume\":\"131 8\",\"pages\":\"Pages 431-436\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2006-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.anchir.2006.03.017\",\"citationCount\":\"7\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annales de chirurgie\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0003394406000848\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annales de chirurgie","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0003394406000848","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Une exentération pelvienne postérieure avec anastomose est-elle faisable et justifiée dans le traitement des cancers de l'ovaire à un stade évolué ?
Purpose
The aim of this study is to show that the removal of the rectum is not an obstacle to implement an optimal surgery in advanced epithelial cancer of the ovary.
Material and methods
Retrospective study on a population of 44 women with advanced epithelial cancer of the ovary. The surgery was realized between January 95 and July 03, and all surgeries requiered a posterior exenteration. This treatment was completed by chemotherapy for 36 of them.
Results
The median survival of this population is 36,6 months. 6/44 patients (13,6%) had post-operative complications. The completion of chemotherapy started after an average of 5,2 weeks after surgery. All the assessable patients (43/44) have an anal satisfactory continence.
Conclusion
The posterior exenteration, when it's necessary, for advanced epithelial cancer of the ovary must not be an obstacle to obtaint an optimal surgery. Anal continence is respected and there are no more complications. This surgical act is safe for the management of this pathology without delaying the others therapeutics and allowing a satisfactory quality of life.