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卵巢癌初诊时多为晚期,盆底、乙状结肠和直肠壁的转移较多见。在其综合治疗中原发肿瘤及转移灶的根治性切除十分重要。国外Hudsonl981年详述了经盆腔腹膜外入路切除盆底肿瘤及受侵直肠的方法,其特点是开腹后从盆腔腹膜外间隙开始游离盆腔内肿瘤,并将受侵部分直肠一同切除,后行正常肠道的端端吻合。1985年Wharton等报道了“卷地毯”式盆腔肿瘤经腹膜外切除方法。这种术式能彻底地切除卵巢癌盆腔肿瘤及转移灶。
At the time of first diagnosis, ovarian cancer was mostly advanced, and pelvic floor, sigmoid colon, and rectal wall were more common. Radical resection of primary tumors and metastases is important in their comprehensive treatment. Hudsonl in 1998 described in detail the method of pelvic extraperitoneal extraperitoneal approach to resection of pelvic floor tumors and the rectum invasion method, which is characterized by a pelvic cavity from the pelvic extraperitoneal space after the start of free pelvic tumors, and part of the invading part of the rectum removed, after End-to-end anastomosis of the normal intestine. In 1985, Wharton et al. reported on extraperitoneal resection of “carpet” type pelvic tumors. This type of surgery can completely remove ovarian cancer and pelvic tumors.