国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (5): 500-504.

• 专家论坛 • 上一篇    下一篇

腹腔镜在卵巢癌诊治中的应用

王刚，陈扬平   

  1. 528000 广东省佛山市，佛山市第一人民医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-10-15 发布日期:2014-10-15

Laparoscopic Surgery in Diagnosis and Treatment of Ovarian Cancer

WANG Gang，CHEN Yang-ping   

  1. Department of Obstetrics and Gynecology， the First People′s Hospital of Foshan ，Foshan 528000，Guangdong Province，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-10-15 Online:2014-10-15

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摘要： 腹腔镜技术在卵巢癌诊断和治疗中的应用价值一直饱受争议。随着微创观念的不断强化以及微创外科技术的不断发展，腹腔镜下早期卵巢癌全面分期手术已逐步得到学术界的认同和推崇。临床晚期卵巢癌通过腹腔镜检查进行诊断并评估肿瘤细胞减灭术的可行性和彻底性，也正受到广泛关注和踊跃尝试。但在腹腔镜下完成晚期卵巢癌的肿瘤细胞减灭术，其可行性、有效性和安全性仍然受到强烈质疑。有限的临床实践提示，只要病例选择和技术应用得当，大部分的晚期卵巢癌患者仍然可以从腹腔镜等微创技术的应用中获益，值得深入研究。

关键词: 腹腔镜, 卵巢肿瘤, 诊断, 肿瘤分期, 肿瘤细胞, 培养的, 注射, 腹腔内, 二氧化碳, 气腹, 人工

Abstract: Laparoscopic surgery has been controversial for a long time since it was applied to diagnosis and treatment of ovarian cancer. With the continual intensification of minimally invasive concept and development of minimally invasive surgical technology, laparoscopic staging surgery for ovarian cancer has been recognized and inthroned gradually in academia. Laparoscopic predictive model for optimal cytoreduction in advanced ovarian carcinoma is attracting widespread interest and active attempt. But there are continuous disputes on the feasibility, effectivity and safety of laparoscopic cytoreductive surgery. Clinical practice indicated that under the condition of well-selected cases and well-applied technology, lots of patients with advanced ovarian cancers can be benefited from minimally invasive surgical technology such as laparoscopy. Laparoscopic cytoreductive surgery for advanced ovarian carcinoma is worthy of further research.

Key words: Laparoscopes, Ovarian neoplasms, Diagnosis, Neoplasm staging, Tumor cells, cultured, intraperitoneal, Carbon dioxide, Pneumoperitoneum, artificial