摘要
目的总结原发性腹膜后巨大肿瘤的外科手术经验. 方法回顾性分析1998～2002年18例腹膜后巨大肿瘤手术治疗的临床资料.结果 14例完整切除,1例大部切除,3例剖腹探查加活检术.14例恶性肿瘤中有10例完整切除,其中8例行联合脏器切除;4例良性肿瘤均完整切除,其中1例行联合脏器切除,无手术死亡.随访3年,18例中14例健在,死亡4例,肿瘤复发14例.结论准确的术前评估、恰当的手术径路、良好的手术技能是提高手术切除率的关键.
Objective To summarize the surgical experience in huge primary retroperitoneal tumor and improve tumor resection rate. Methods Eighteen cases with huge primary retroperitoneal tumor between 1998 and 2002 were analyzed. Results fourteen of all cases received total resection, 1 partial resection,3 exploratory laparotomy and biopsy. Ten cases of malignant tumor were total resected. Among these ,8 cases were underwent combined organ resection. 4 cases of benign tumor were all resected totally, including 1 combined organ resection. No case died during perioperation. All cases received 3 years＇ follow-up. 14 alive and 4 died. Tumor recurred in 14 cases. Conclusion Precise preoperative evaluation, right approach of operation and excellently surgical technique are the keys to improve tumor resection rate.
出处
《中国实用外科杂志》
CSCD
北大核心
2005年第11期675-676,共2页
Chinese Journal of Practical Surgery
关键词
腹膜后肿瘤
联合脏器切除
Retroperitoneal tumor Combined organ resection
