Is omentectomy mandatory in the operation for ovarian cancer? Preliminary results in a rat study (VSports app下载)
- PMID: 22640727
- DOI: 10.1016/j.ejogrb.2012.05.020
Is omentectomy mandatory in the operation for ovarian cancer? Preliminary results in a rat study
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Objective: To investigate whether omentectomy is required in the operation for ovarian cancer, in particular at the early stage VSports手机版. .
Study design: F344 nude rats were divided into two groups: one in which laparotomy and omentectomy were performed (primary omentectomy group, n=6) and one without omentectomy (n=12) V体育安卓版. Concurrently, DISS cells derived from ovarian cancer were transplanted intraperitoneally. After three weeks, the 12 rats without omentectomy were divided into two more groups: one in which the omentum was resected together with the tumor (sham operation/omentectomy group, n=6) and one without omentectomy (sham operation alone group, n=6). .
Results: The survival of the sham operation alone group was shortest with a median of 35 days, while the median of the primary omentectomy group was 42 days. In the sham operation/omentectomy group, four rats survived beyond Day 90, which was significant compared with other two groups. The intraperitoneal findings in the primary omentectomy group revealed extensive disseminated foci on the mesentery and under the abdominal wall V体育ios版. The sham operation alone group was characterized by jaundice resulting from the compression of the biliary system at the liver hilum by the omental mass. Disseminated foci were not observed in the peritoneal cavity from the sham operation/omentectomy group. .
Conclusions: This study suggests the possibility that the omentum has a role in capturing cancer cells and suppressing further peritoneal dissemination. Therefore, although omentectomy is rewarding if disseminated foci are present in the omentum, it is suggested that the timing of omentectomy requires reconsideration in the absence of omental metastasis. VSports最新版本.
Copyright © 2012 Elsevier Ireland Ltd V体育平台登录. All rights reserved. .
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