多学科诊治在卵巢癌肝胃间隙转移的应用
Multidisciplinary diagnosis and treatment in liver-gastric interstitial metastasis of ovarian cancer
贾秋成 1汤慧敏 1陈继明 1陈婉莹 1李阳 1唐斌 1郑虹 1魏炜炜 1施如霞1
作者信息
- 1. 南京医科大学第三附属医院(常州市第二人民医院)妇科,江苏常州,213000
- 折叠
摘要
本手术方式取平卧位,气管插管全身麻醉,外科铺单消毒后于脐上切口置入腹腔镜,观察腹腔情况后转开腹.切断肝缘韧带、镰状韧带,暴露肝门区域淋巴结,超声刀逐步切除肝动脉左侧肿大淋巴结及胃左侧肿大淋巴结,充分探查及冲洗后放置腹腔引流管,关闭腹腔,完成腹腔淋巴结清扫术.
Abstract
In this surgical procedure,the patient was placed in the lying position,general anaesthesia was administered by tracheal intubation,and the laparoscope was inserted into the supraumbilical incision after routine disinfection and the surgical sheet was placed.The abdominal cavity was observed and opened.The hepatic marginal ligament and falciform ligament were cut off,the lymph nodes in the hilar region were exposed,and the enlarged lymph nodes on the left side of the hepatic artery and the left side of the stomach were gradually removed by ultrasonic knife.The abdominal drainage tube was placed and the abdominal cavity was closed to complete the abdominal lymph node dissection after thorough exploration and irrigation.
关键词
多学科会诊/卵巢癌转移/肝胃间隙Key words
multidisciplinary consultation/ovarian cancer metastasis/hepatogastric hiatus引用本文复制引用
出版年
2024