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?

M. Buttarelli , G. Houvenaeghel , L. Lelièvre , J. Jacquemier , J. Guiramand , J.-R. Delpero
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引用次数: 7

摘要

目的本研究的目的是表明切除直肠不是实施晚期卵巢上皮癌最佳手术的障碍。材料与方法对44例晚期卵巢上皮性癌妇女进行回顾性研究。手术是在1995年1月至2003年7月间完成的,所有手术都需要后路切除。其中36人通过化疗完成了治疗。结果本组患者中位生存期为36.6个月。6/44例(13.6%)患者出现术后并发症。化疗平均在术后5.2周后开始完成。所有可评估患者(43/44)肛门控制良好。结论对于晚期卵巢上皮性癌,必要时的后腔切除不应成为获得最佳手术的障碍。肛门控制得到尊重,没有更多的并发症。这种手术行为对于这种病理的管理是安全的,不会延迟其他治疗,并允许令人满意的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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