作者介绍了一名 80 岁女性患者的病例,她因直肠上段癌接受了腹腔镜“整块”直肠上段切除术和全子宫切除术。 患者入院诊断为直肠上段结肠癌。 术前分期显示 T4b 肿瘤侵犯子宫肌层。 手术顺利完成,无术中并发症。 患者术后第5天出院,无任何并发症。 6 个月和 12 个月的随访检查显示没有疾病复发的证据。
这种微创手术可以更快地恢复并获得良好的肿瘤学结果。 在某些情况下,具有盆腔手术经验的腹腔镜外科医生应考虑这种方法。
参考书目:
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