上皮性卵巢癌网膜切除术的研究进展

Advances in the Omentextomy of Epithelial Ovarian Cancer

上皮性卵巢癌(EOC)是常见的妇科恶性肿瘤之一,早期不易发现,复发率和死亡率高。其治疗方法主要是以手术、化疗为主的综合治疗。因为该肿瘤经常会种植转移至网膜上,因此网膜切除术是标准分期手术和肿瘤减灭术中重要步骤之一。但是网膜切除术的范围却仍有争议。如果网膜有肉眼可见的肿瘤累及,则要切除全部受到肿瘤累及的网膜。而对于网膜无肉眼可见的肿瘤累及的患者,不同术者会选择不同范围的网膜切除术,其中最常见的是横结肠水平的网膜切除术。扩大切除范围可能会给患者带来更多获益的同时也会提高并发症的发生率。现就EOC治疗过程中的网膜切除术进行综述,以期为不同EOC患者提供更精确的治疗意见。

Epithelial ovarian cancer（EOC） is a common gynecologic carcinoma in women. It holds high recurrence rate and mortality due to dormant symptom. The standard treatment of EOC includes primary debulking surgery followed by chemotherapy. EOC have a clear predilection for metastasis to the omentum and hence omentextomy is an important part in EOC surgery. However, the scope of surgery remains disputed. All involved omentum should be removed if there is gross disease in the omentum. To those patients without gross disease in the omentum, the scope of surgery depends on the surgeon. The commonest one is an infracolic omentectomy while expanded resection may bring more benefits and complications to patients. A review of omentectomy in the staging and treatment of EOC was conducted to provide more accurate treatment for different EOC patients.