资源描述:
《technical handbook for prevention and treatment of peritoneal surface malignancy no appendix外语英文电子书》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、December5,2005TechnicalHandbookfortheIntegrationofCytoreductiveSurgeryandPerioperativeIntraperitonealChemotherapyintotheSurgicalManagementofGastrointestinalandGynecologicMalignancyth4EditionPaulH.Sugarbaker,MD,FACS,FRCSContentsI.BackgroundandrationaleII.Quantitativeprognosticindicator
2、sIII.PeritonectomyIV.SugarbakerretractorV.HeatercirculatorapparatusVI.HeatedintraoperativeintraperitonealchemotherapyVII.EarlypostoperativeintraperitonealchemotherapyVIII.ClinicalpathwayforpostoperativecareIX.ResultsoftreatmentX.Currentindicationsforcytoreductivesurgeryplusperioperati
3、veintraperitonealchemotherapyXI.ConclusionsXII.AppendixFoundationforAppliedResearchinGastrointestinalOncologyTechnicalHandbookfortheIntegrationofCytoreductiveSurgeryandPerioperativeIntraperitonealChemotherapyintotheSurgicalManagementofGastrointestinalandGynecologicMalignancyPaulH.Suga
4、rbaker,MD,FACS,FRCS2byPaulH.Sugarbaker,MD,FACS,FRCSWashingtonCancerInstitute106IrvingStreet,NW,Suite3900Washington,DC20010Allrightsreserved.Reproductioninwholeorinpartbyanymeanswithoutpermissionoftheauthorisprohibited.French,Italian,Turkish,Chinese,Polish,Russian,Portuguese,Spanish,Hu
5、ngariantranslationsareavailablePrintedintheUnitedStatesofAmericabyTheLudannCompanyGrandRapids,MichiganSupportedbytheFoundationforAppliedResearchinGastrointestinalOncology–FARGO,andtheWashingtonCancerInstitute.3INTRODUCTIONMostcancersthatoccurwithintheabdomenorpelviswilldisseminatebyth
6、reedifferentroutes.Theseare:hematogenousmetastases,lymphaticmetastases,andimplantsonperitonealsurfaces.Inasubstantialnumberofpatients,diseaseprogressionthatisisolatedtotheresectionsiteortoperitonealsurfacesmayoccur.Ifthisistrue,eliminationofperitonealsurfacespreadwillhaveanimpactonthe
7、survivalofthesecancerpatientsinwhomaprominentcauseofdeathisperitonealcarcinomatosisorsarcomatosis.Priortotheuseofacombinedtreatmentusingcytoreductivesurgeryplusintraperitonealchemotherapy,theseconditionswereuniformlyfatal,eventuallyresultinginintestinalobstructionoverthecourseofmonths
8、oryea