腹腔镜手术治疗宫颈癌复发一例

目的通过1例宫颈癌术后并放化疗后阴道复发患者的个体化治疗,探讨此类患者的手术方案及手术难点。方法选取中国医学科学院肿瘤医院深圳医院1例宫颈癌手术并放化疗后阴道复发病例,复习文献并通过多学科诊疗制定个体化治疗方案,探讨该手术难点及处理对策。结果手术顺利完成,术中出血少,术后恢复顺利,无并发症。术后随访7个月,患者恢复良好,生活质量高。结论对于宫颈癌手术并放化疗后阴道复发患者,通过仔细甄选合适患者,选择全阴道切除术是可行的,其可以有效切除病灶,延长患者生存期,改善生活质量,使患者最大限度地获益。但此类患者的手术治疗需要手术医师具备更高的手术技术及心理素质,同时需远期随访及进一步研究来评估其手术治疗的安全性及有效性。

A case of recurrent cervical cancer treated by laparoscopic operation

Objective Cervical cancer is one of the common malignant tumors in gynecology,and the treatment of patients with vaginal recurrence after surgery and radiotherapy for cervical cancer is the most challenging problem.The purpose of this paper is to discuss the surgical plan and surgical difficulties of such patients through individualized treatment and literature review of vaginal recurrence after surgery and radiotherapy for cervical cancer.Methods A case of vaginal recurrence after surgery and radiotherapy for cervical cancer was selected from Cancer Hospital Chinese Academy of Medical Sciences,Shenzhen Center.The case was reviewed in the literature and individualized treatment plan was formulated through Multi-disciplinary Treatment(MDT),and the surgical difficulties and management measures were discussed.Results The surgery was completed successfully with minimal intraoperative bleeding and smooth postoperative recovery with no complications.At the postoperative follow-up of 7 months,the patients recovered well and had a high quality of life.Conclusions For patients with vaginal recurrence after surgery and radiotherapy for cervical cancer,it is feasible to choose total vaginal resection through careful selection of suitable patients,which can effectively remove the lesion,prolong the patient′s survival,improve the quality of life,and benefit the patient to the maximum.However,surgical treatment of these patients requires a higher level of surgical skill and psychological competence on the part of the surgeon,as well as long-term follow-up and further studies to assess the safety and efficacy of the surgical treatment.