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    UNSOLVED 手術中腫瘤破裂的處理方式?

    JustAsk
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    • C
      ccddxd last edited by ccddxd

      前一陣子跟刀遇見了一台術中腫瘤破裂的案例
      主治於腫瘤破裂後的立即處置為

      1. 使用紗布浸泡酒精塞入術區
      2. 更換全套手術器具及手套

      不知各位先進有何見解?或是有更佳處置作為?
      謝謝

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      • M
        MegaNote last edited by

        還是要看tumor 的種類,如果是ovarian cancer ,就會影響到stage ,例如如果原本是unilateral ovarian tumor ,就會是FIGO IA stage ,只需要腫瘤加上卵巢切除就好,但如果破裂,stage 就會變成FIGO IC ,進而要做 debunking surgery ,也就是需要把 Uterine ,對側 Ovary, Omentum, obturator , iliac lymph node 都拿掉 , 術後還要做 chemotherapy,對於病人或是operator(要再花2-3小時.)都是更大的負擔。

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