中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2010年
1期
59-61
,共3页
原发性腹膜后肿瘤%外科手术
原髮性腹膜後腫瘤%外科手術
원발성복막후종류%외과수술
Primary retroperitoneal tumor%Surgery operation
目的 探讨原发性腹膜后肿瘤的手术方法及注意事项,以提高手术切除率,降低手术风险.方法 回顾性分析我院2004年1月至2008年12月50例经外科手术治疗的原发性腹膜后肿瘤的临床资料.结果 50例中良性20例,恶性30例.完整切除39例(78%),其中合并脏器切除lO例(20%);大部切除3例(6%),无法切除只做活检8例(16%).本组手术切除率为84%(42/50).结论 充分的术前准备及术中视野开阔,层次清晰,是切除腹膜后肿瘤的基本条件,相应的手术技巧可降低手术风险.原则上应作肿瘤完整切除,肿瘤累及脏器应酌情联合切除,完整切除是目前最有效的治疗方法,也是降低术后复发的主要措施.
目的 探討原髮性腹膜後腫瘤的手術方法及註意事項,以提高手術切除率,降低手術風險.方法 迴顧性分析我院2004年1月至2008年12月50例經外科手術治療的原髮性腹膜後腫瘤的臨床資料.結果 50例中良性20例,噁性30例.完整切除39例(78%),其中閤併髒器切除lO例(20%);大部切除3例(6%),無法切除隻做活檢8例(16%).本組手術切除率為84%(42/50).結論 充分的術前準備及術中視野開闊,層次清晰,是切除腹膜後腫瘤的基本條件,相應的手術技巧可降低手術風險.原則上應作腫瘤完整切除,腫瘤纍及髒器應酌情聯閤切除,完整切除是目前最有效的治療方法,也是降低術後複髮的主要措施.
목적 탐토원발성복막후종류적수술방법급주의사항,이제고수술절제솔,강저수술풍험.방법 회고성분석아원2004년1월지2008년12월50례경외과수술치료적원발성복막후종류적림상자료.결과 50례중량성20례,악성30례.완정절제39례(78%),기중합병장기절제lO례(20%);대부절제3례(6%),무법절제지주활검8례(16%).본조수술절제솔위84%(42/50).결론 충분적술전준비급술중시야개활,층차청석,시절제복막후종류적기본조건,상응적수술기교가강저수술풍험.원칙상응작종류완정절제,종류루급장기응작정연합절제,완정절제시목전최유효적치료방법,야시강저술후복발적주요조시.
Objective To investigate the strategy and announcements of surgery in primary retroperitoneal. tumor for improving the rescetable rate and decreasing the surgical risk.Methods Clinical data of 50 cases undergoing surgery of retroperitoneal tumor in our hospital from January 2004 to December 2008 were retrospectively analyzed.Results Tumors were benign in 20 cases and malignant in 30 cages.Complete resection was achieved in 39 cases(78%).in which combined organ resection carried out in 10 cases(20%),3 cases(6%)underwent partial resection.non-resection and had biopsy only were performed in 8 cases(16%),so the rescetable rate of this clinical weTe 84%(42/50).Conclusions Abundant preoperative preparation,wide open operation field and distinct anatomical dissection were the essential condition of the resecting primary retroperitoneal tumor.The relevant surgical skill should decrease the surgical risk.The tumor should be completely reaeeted in principle,and invaded neighboring organs should be resected with the discretion at the gane time.Completely resected was the key 10 improving the surviral rate and the strategy to decreasing the reeurence rate for recurrent retroperitoneal tumor.
