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盆腔手术(中英作品展示)

术前诊断:卵巢腺癌IIIc期先期化疗一程后

术后诊断:卵巢腺癌IIIc期先期化疗一程后

手术名称:全麻下全子宫双附件大网膜阑尾切除术盆腔淋巴结清扫术+部分直肠切除术及肠管吻合术

探查:盆腔轻度粘连,子宫附件常大,表面可见散在病灶,子宫后壁与盆底粘连,子宫直肠窝触及两个包块约10cm x 10cm,5cm x 4cm,囊性,与直肠关系密切,与周围组织粘连较紧密,盆腔腹膜及部分肠管见散在小结节,大小约0.2-0.3cm,大网膜局部呈饼状,质硬,最大约6 x 7cm,乙状结肠与盆底粘连,阑尾、肝脏及脾脏未见结节,盆腹腔未及肿大淋巴结。


Preoperative Diagnosis: ovarian cancer, stage IIIc, s/p one cycle of neoadjuvant chemotherapy

Preoperative Diagnosis: ovarian cancer, stage IIIc, s/p one cycle of neoadjuvant chemotherapy

Name of Procedure: total hysterectomy + bilateral adnexectomy + greater omentectomy + appendicectomy + pelvic lymph node dissection + partial rectectomy and intestinal anastomosis

Exploration: Mild adhesion in pelvic cavity was identified. The uterus and uterine adnexa were normal in size, with discrete lesions on surface. The posterior uterine wall was adhered to pelvic floor. Two cystic masses were palpable in recto-uterine pouch, about 10cm×10cm and 5cm×4cm in size, with close connection to the rectum, closely adhered to surrounding tissue. Discrete small nodules were identified in pelvic peritoneum and partial intestinal canal, about 0.2-0.3cm in diameter. The local region of greater omentum was cookie-like, firm, about 6×7cm in the largest dimension. The sigmoid colon was adhered to the pelvic floor. No nodule in the appendix, liver or spleen. No enlarged lymph nodes in abdominal or pelvic cavity.