远端胃切除术作为晚期卵巢癌减体积手术的一部分

N. Bacalbaşa, I. Bălescu, C. Stoica, Cristina Martac, V. Varlas, Andrei Voichitoiu, L. Pop, S. Petrea, Mihaela Vîlcu, I. Brezean
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引用次数: 0

摘要

卵巢癌的特点是通过多种途径,如腹膜、血液或淋巴途径,具有很高的传播能力。因此,可能会遇到上腹部受累;在这种情况下,可能需要扩大内脏切除,以实现根治性细胞减少手术。本文的目的是报告三例被诊断为上腹部延伸病变的患者,其中远端胃切除术成功。术后1例发生术后漏,经保守治疗成功。所有病例的组织病理学检查均显示肿瘤累及胃壁。总之,胃切除术可以作为晚期卵巢癌减体积手术的一部分,以增加获得长期生存的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Distal gastrectomy as part of debulking surgery for advanced stage ovarian cancer
Ovarian cancer is characterized through a high capacity of spread via multiple pathways such as peritoneal, hematogenous or lymphatic route. Therefore, upper abdominal involvement might be encountered; in such cases extended visceral resections might be needed in order to achieve radical cytoreductive surgery. The aim of the current paper is to report the cases of three patients diagnosed with extended upper abdominal lesions and in which distal gastrectomy was successfully associated. Postoperatively a single case developed a postoperative leak which was successfully treated in a conservative manner. In all cases the histopathological studies demonstrated the presence of tumoral involvement of the gastric wall. In conclusion, gastrectomy can be safely associated as part of debulking surgery for advanced stage ovarian cancer in order to increase the chances to obtain long term survival.
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