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中华普外科手术学杂志(电子版) ›› 2026, Vol. 20 ›› Issue (05) : 501 -503. doi: 10.3877/cma.j.issn.1674-3946.2026.05.020

临床经验

冰鲜标本在全盆腔脏器切除手术教学培训体系中的优化应用
周海洋†(), 邹知静, 王展同, 张剑   
  1. 200003 上海,海军军医大学第二附属医院(上海长征医院)肛肠外科
  • 收稿日期:2026-01-12 出版日期:2026-10-26
  • 通信作者: 周海洋

The optimized application of frozen specimens in the teaching and training system for total pelvic organ resection surgery

Haiyang Zhou†(), Zhijing Zou, Zhantong Wang, Jian Zhang   

  1. Division of Colorectal Surgery, Changzheng Hospital, Navy Medical University, Shanghai 200003, China
  • Received:2026-01-12 Published:2026-10-26
  • Corresponding author: Haiyang Zhou
  • Supported by:
    National Key Technology Research and Development Program(2024ZD0520301); Shanghai Eastern Talent Youth Project(SHSDFYCQN-ZHY)
引用本文:

周海洋, 邹知静, 王展同, 张剑. 冰鲜标本在全盆腔脏器切除手术教学培训体系中的优化应用[J/OL]. 中华普外科手术学杂志(电子版), 2026, 20(05): 501-503.

Haiyang Zhou, Zhijing Zou, Zhantong Wang, Jian Zhang. The optimized application of frozen specimens in the teaching and training system for total pelvic organ resection surgery[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2026, 20(05): 501-503.

图1 全盆腔脏器切除手术血管解剖(冰鲜标本)冰鲜人体标本经自然解冻后行右侧盆腔解剖 图中显示髂内血管及其分支、闭孔血管和骶前静脉丛的毗邻关系,可用于TPE培训中侧盆壁血管辨认及止血操作训练。本图由研究团队在教学过程中拍摄,标本由临床解剖中心提供,未经甲醛固定
图2 全盆腔脏器切除手术神经解剖(冰鲜标本)冰鲜人体标本经自然解冻后行盆腔深部神经解剖 图中显示腰骶干、骶丛神经支、闭孔神经及其与梨状肌、闭孔内肌等盆壁肌群的关系,可用于TPE培训中盆腔神经辨认及神经保护训练。本图由研究团队在教学过程中拍摄,标本来源同图1
[1]
Shine RJ,Glyn T,Frizelle F. Pelvic exenteration: a review of current issues/controversies[J]. ANZ J Surg,2022,92(11): 2822-2828.
[2]
Wang A,Zhang P,Zang J,et al. ASO Author Reflections: Image-Guided Total Pelvic Exenteration for Locally Recurrent Rectal Cancer[J]. Ann Surg Oncol,2025,32(4): 2314-2315.
[3]
王安琪,卞策,钱明,等. 后盆脏器联合骶尾骨切除术治疗骶前复发直肠癌1例[J].中华普通外科杂志,2022,37(12): 941-942.
[4]
Troester A,Weaver L,Mott SL,et al. Patterns of Care and Oncologic Outcomes after Pelvic Exenteration for Locally Advanced Rectal Cancer in the United States[J]. Ann Surg Oncol,2025,32(4): 2271-2281.
[5]
Zanatto RM,Mucci S,Pinheiro RN,et al. Quality of life following pelvic exenteration in neoplasms[J]. J Surg Oncol,2024,130(4): 955-964.
[6]
Pleth Nielsen CK,Sørensen MM,Christensen HK,et al. Complications and survival after total pelvic exenteration[J]. Eur J Surg Oncol,2022,48(6): 1362-1367.
[7]
Steffens D,Solomon MJ,Karunaratne S,et al. Long-term survival and quality of life in patients more than 10 years after pelvic exenteration[J]. Br J Surg,2025,112(6): znaf123.
[8]
Garrett C,Brown KGM,Solomon MJ,et al. Conventional Versus High-Complexity Total Pelvic Exenteration for Locally Advanced and Locally Recurrent Rectal Cancer: An International Multicenter Study[J]. Dis Colon Rectum,2026,69(1): 34-41.
[9]
顾晋,高庆坤. 局部晚期直肠癌盆腔脏器联合切除的难点与挑战[J]. 中华胃肠外科杂志,2023,26(3): 7.
[10]
杨红杰,周远达,江佩师,等. 盆腔恶性肿瘤层面优先入路全盆腔脏器切除术的可行性及安全性[J]. 中华胃肠外科杂志,2025,28(7): 751-757.
[11]
Mohan H,Harji D,Drami I,et al. Developing a curriculum for advanced fellowship training in complex cancer for the UK[J]. Colorectal Dis,2024,26(8): 17084.
[12]
Geng Y,Ding N,Zou J,et al. Management of a complicated colonexposed sacrococcygeal wound after pelvic exenteration: a case report[J]. J Wound Care,2024,33(7): 315-318.
[13]
Zhang P,Chen M,Wang A,et al. Total pelvic exenteration for locally advanced rectal cancer: Video-illustrated technique-A video vignette[J]. Colorectal Dis,2025,27(5): e70105.
[14]
Wang A,Zhang P,Zang J,et al. Total Pelvic Exenteration with Presacral Fascia and Pelvic Musculature Excision for Pelvic Recurrence of Rectal Cancer[J]. Ann Surg Oncol,2025,32(4): 2308-2309.
[15]
梁承友,刘翼,姚德炯,等. 三角入路在局部晚期直肠癌盆腔脏器联合切除术中的应用[J/OL]. 中华普外科手术学杂志(电子版),2025,19(4): 392-395.
[16]
陈国良,陆瑶,张若昕,等. 盆底整块切除在局部进展期或局部复发直肠癌盆腔脏器联合切除术中的临床应用[J]. 中华胃肠外科杂志,2025,28(7): 743-750.
[17]
李瑞,陈文洁,徐镇,等. 3D打印解剖模型联合腹腔镜手术视频在腹腔镜肝切除术临床教学的应用研究[J/OL]. 中华普外科手术学杂志(电子版),2026,20(1): 63-66.
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