细胞减灭术（CRS）联合或不联合腹腔热灌注化疗已成为可切除腹膜表面恶性肿瘤的标准。 CRS旨在通过腹膜切除术和内脏切除术实现肉眼可见疾病的完全切除。骨盆经常发生腹膜恶性肿瘤，因此确保肿瘤完全切除的手术技术成为 CRS 的重要组成部分。这最好通过整块盆腔腹膜切除术来实现，该切除术通常包括女性子宫切除术和双侧卵巢切除术。我们制作了一个视频来回顾技术步骤和暴露技巧，以通过整块切除术实现女性患者骨盆的完全细胞减灭术。整个盆腔腹膜，包括死胡同、子宫和附件，采用（“经典盆腔腹膜切除术”）或不采用（“保留内脏的盆腔腹膜切除术”）直肠乙状结肠切除术。在许多中心，经典盆腔腹膜切除术中的保护性回肠造口术是常规做法，而其他中心则主张仅选择性和谨慎地使用回肠造口术。在我们的中心，保护性回肠造口术是选择性使用的，因此未包含在视频中。在视频的第一部分中，我们回顾了基本原理、适应症和步骤，而在第二部分中，我们展示了两种方法的实际演示：女性患者的经典盆腔腹膜切除术和保留内脏的盆腔腹膜切除术。完整的盆腔腹膜切除术可以在有或没有整块直肠乙状结肠切除的情况下实现。该技术是 CRS 的重要组成部分，掌握该技术有助于在骨盆晚期或复杂受累的情况下实现完全切除肿瘤的可能性。© 2024。外科肿瘤学会。

Cytoreductive surgery (CRS) with or without hyperthermic intraperitoneal chemotherapy has become standard for resectable peritoneal surface malignancies. CRS aims to achieve complete resection of macroscopic disease through peritonectomy procedures and visceral resections. The pelvis is very frequently involved in peritoneal malignancies, making surgical techniques that ensure complete tumor removal an essential part of CRS. This is best achieved through an en bloc pelvic peritonectomy, which frequently includes a hysterectomy and bilateral oophorectomy in women.We created a video to review technical steps and exposure tips to achieve a complete cytoreduction of the pelvis in female patients with en bloc resection of the entire pelvic peritoneum, including the cul-de-sac, the uterus, and the adnexa, with ('classic pelvic peritonectomy') or without ('visceral-sparing pelvic peritonectomy') rectosigmoid resection. The creation of a protective ileostomy in classic pelvic peritonectomy is routine in many centers, while other centers advocate only selective and sparing use of ileostomy. In our center, protective ileostomy is used selectively and is therefore not included in the video.In the first part of the video, we review the rationale, indications, and steps, while in the second part, we show a practical demonstration of both a classic and a visceral-sparing pelvic peritonectomy in female patients.Complete pelvic peritonectomy can be achieved both with or without en bloc resection of the rectosigmoid colon. This technique is an essential part of CRS, and mastery of the technique can help the likelihood of achieving complete tumor removal in advanced or complex involvement of the pelvis.© 2024. Society of Surgical Oncology.