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

作　　者：贾秋成 汤慧敏 陈继明[1] 陈婉莹 李阳[1] 唐斌 郑虹[1] 魏炜炜 施如霞[1] JIA Qiucheng;TANG Huimin;CHEN Jiming;CHEN Wanying;LI Yang;TANG Bin;ZHENG Hong;WEI Weiwei;SHI Ruxia(Department of Gynecology,The Third Affiliated Hospital of Nanjing Medical University(Changzhou Second People's Hospital),Changzhou,Jjangsu 213000,China)

机构地区：[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

出　　处：《手术电子杂志》2024年第4期15-17,共3页Electronic Journal of Medical Operations

基　　金：常州市高层次卫生人才培养工程(2022CZBJ074);江苏省妇幼健康重点人才项目(RC202101);江苏省妇幼健康科研项目(F202138);江苏省博士后科研资助计划(2019K064);江苏省“333工程”科研资助项目(BRA2019161)

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。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 

分 类 号：R73[医药卫生—肿瘤]