椎体转移。整块治疗。
Vertebral metastases. En bloc treatment.
发表日期:2023 Sep 07
作者:
Antonio Martín Benlloch, Laura Bolós Ten, Ana Maria Morales Codina
来源:
Bone & Joint Journal
摘要:
脊柱转移瘤的整体切除手术是医学文献研究的课题,因其对患者的生活质量和局部疾病控制的影响而备受关注。本文献分析针对脊柱骨转移瘤的整体切除手术的研究发现和观点进行了考察。该技术涉及完全切除肿瘤以及周围骨骼部分,已被证实相较于传统的减压和稳定技术,能够改善局部肿瘤控制,减少复发,并有潜在延长患者生存期的效果。然而,整体切除手术也存在风险和并发症,如手术并发症和延长康复时间。合适的患者筛选、术前计划和多学科综合治疗对于优化结果至关重要。随着新技术和辅助治疗的进展,脊柱骨转移瘤的整体切除手术仍然是肿瘤学研究的一个关注领域。版权所有©2023 SECOT。由Elsevier España, S.L.U.出版。保留所有权利。
En bloc resection of vertebral metastases has been the subject of study in medical literature due to its impact on patients' quality of life and effectiveness in local disease control. This bibliographic analysis examines the findings and perspectives of published studies concerning en bloc resection of oligometastases in the spine. The technique, which involves the complete removal of the tumour along with a portion of the surrounding bone, has been shown to improve local tumour control, reduce recurrence, and potentially prolong patient survival compared to conventional decompression and stabilization techniques. However, en bloc resection also presents risks and complications, such as surgical morbidity and extended recovery time. Appropriate patient selection, preoperative planning, and a multidisciplinary approach are essential to optimize outcomes. As new techniques and advances in adjuvant treatment develop, en bloc resection of oligometastases in the spine remains an area of interest in oncological research.Copyright © 2023 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.