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[复发性腹内粘膜瘤的手术治疗]

H Leebmann¹, S Blaj², P Piso²

¹Krankenhaus Barmherzige Brüder Regensburg, Prüfeninger Str. 86, 93049, Regensburg, Deutschland. hubert.leebmann@barmherzige-regensburg.de.

Chirurgie (Heidelberg, Germany)

|July 11, 2023

概括

在初始细胞还原性手术 (CRS) 和高热性腹膜内化疗 (HIPEC) 后,对复发性瘤 (PMP) 进行完整的细胞还原手术可以导致长期生存. 瘤脱皮手术为PMP复发的患者提供症状控制.

科学领域:

在瘤学瘤学.
手术瘤学手术瘤学
胃肠病学胃肠病学

背景情况:

粘菌性腹内瘤通常通过细胞还原性手术 (CRS) 和高热性腹内化学疗法 (HIPEC) 来治疗.
在CRS和HIPEC之后,复发率可能高达45%.

研究的目的:

在CRS和HIPEC之后,审查复发性膜瘤 (PMP) 的治疗策略.
为了评估重复CRS和PMP复发的脱手术的疗效和安全性.

主要方法:

进行了全面的文献搜索和分析.
对复发性PMP的当前治疗选择和结果的审查.

主要成果:

再发性PMP的治疗是有争议的,并且取决于复发部位,体积,组织学和症状.
选择包括重复CRS与或没有HIPEC,除手术,或警等待.
重复CRS在选定的患者中是可行的和安全的,达到80%以上的中位数5年生存率.
脱皮手术提供了长时间的生存和近2年的症状控制.

结论:

对复发性PMP进行完整的细胞减少可以实现长期存活.
瘤解体手术对出现复发性PMP的症状患者有益.

关键词:

细胞还原性手术是指细胞还原性手术.清除除的方法超热内皮管内化学疗法超热内皮管内化学疗法伪瘤 (Pseudomyxoma peritonei) 是一种可能导致瘤的疾病.复发情况复发情况

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