摘要
Abstract
In recent years,pelvic exenteration has become an important approach for radical treatment of locally ad-vanced rectal cancer or locally recurrent rectal cancer.It aims to achieve R0 resection,which means negative histological margins,by completely removing the pelvic organs and tissues invaded by the tumor,thereby improving patient survival and quality of life.However,due to the persistent presence of a large pelvic cavity,postoperative complications such as infection,effusion and hematoma,small bowel adhesion to the pelvic floor leading to intestinal obstruction,prolonged perineal wound infection,and complex fistulae are prone to occur,which is called empty pelvis syndrome.The preven-tion of empty pelvis syndrome is a challenge for surgeons.Our research team reports a case of rectus abdominis isola-tion of the abdominopelvic cavity and planned two-stage"stamp"skin grafting after pelvic exenteration to prevent empty pelvis syndrome.The outcome was satisfactory.During the 3-month follow-up after surgery,no significant signs of infec-tion or tumor recurrence and metastasis were observed.关键词
局部晚期直肠癌/局部复发性直肠癌/盆腔脏器联合切除术/空盆腔综合征Key words
locally advanced rectal cancer/locally recurrent rectal cancer/pelvic exenteration/empty pelvis syndrome分类
医药卫生
