晚期卵巢癌的右上腹部切除术。
Right Upper Abdominal Resections in Advanced Stage Ovarian Cancer.
机构信息
Department of Obstetrics and Gynecology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Department of Obstetrics and Gynecology, "I. Cantacuzino" Clinical Hospital, Bucharest, Romania.
出版信息
In Vivo. 2020 May-Jun;34(3):1487-1492. doi: 10.21873/invivo.11934. Epub 2020 Apr 29.
BACKGROUND/AIM: The right upper abdominal involvement is frequently encountered in patients with advanced stage ovarian cancer. The aim of this paper is to study the safety and efficacy of extended resections at this level as well as to determine the sites of residual disease.
PATIENTS AND METHODS
Between January 2016 and December 2019, 26 patients submitted to right upper abdominal resections were identified.
RESULTS
Peritoneal stripping and full thickness resections were the most commonly performed resections (in 57% and 19% of cases, respectively), followed by capsular liver resection and atypical liver resection (in 30% and 23% of cases, respectively) while the most common sites where resection was incomplete were the liver pedicle and porta hepatis. Exceptionally, one case necessitated performing a pancreatoduodenectomy as part of debulking surgery. Postoperatively, two cases developed serious complications and required reintervention; however, the overall mortality was null.
CONCLUSION
Right upper abdominal resections seem to be feasible and effective in order to maximize the debulking effort with acceptable risks arising from perioperative complications.
背景/目的：晚期卵巢癌患者常出现右上腹部受累。本文旨在研究这一水平的扩大切除术的安全性和有效性，并确定残留疾病的部位。
患者和方法
2016 年 1 月至 2019 年 12 月，共确定了 26 例接受右上腹部切除术的患者。
结果
腹膜剥离和全层切除术是最常进行的切除术（分别占 57%和 19%），其次是包膜肝切除术和非典型肝切除术（分别占 30%和 23%），而切除不完全最常见的部位是肝蒂和肝门。特殊情况下，有 1 例患者需要行胰十二指肠切除术作为减瘤手术的一部分。术后，有 2 例发生严重并发症，需要再次干预；然而，总的死亡率为零。
结论
右上腹部切除术似乎是可行且有效的，可以最大限度地提高减瘤效果，同时术后并发症带来的风险可以接受。
Zotero 插件