CAJ | 학술논문

目的探讨原发性腹膜后肿瘤的外科治疗.方法回顾性分析1992年来原发性腹膜后肿瘤手术切除101例,总结提高手术治疗效果的策略.结果其中良性肿瘤38例,恶性肿瘤63例,均经术后病理证实.肿瘤完整切除率71.29%.良性肿瘤的手术完整切除率高于恶性肿瘤,术中失血少,需要合并切除的脏器少,术后复发率相对低.全部病人无一例术中死亡.术后复发33例,再次手术19例.结论手术完整切除是腹膜后肿瘤治疗首选的方法,术前准备非常重要,对复发的肿瘤应该争取再次手术.
목적탐토원발성복막후종류적외과치료.방법회고성분석1992년래원발성복막후종류수술절제101례,총결제고수술치료효과적책략.결과기중량성종류38례,악성종류63례,균경술후병리증실.종류완정절제솔71.29%.량성종류적수술완정절제솔고우악성종류,술중실혈소,수요합병절제적장기소,술후복발솔상대저.전부병인무일례술중사망.술후복발33례,재차수술19례.결론수술완정절제시복막후종류치료수선적방법,술전준비비상중요,대복발적종류응해쟁취재차수술.
Objective To analyze the surgical therapy of primary retroperitoneal tumor (PRT).Methods One hundred and one cases of PRT from 1992 to 2001 were retrospectively investigated and the results summarized to improve the effect of surgical therapy.Results Thirty-eight cases of benign tumors and 63 cases of malignant ones were all proved pathologically after therapy. The rate of complete excision was 71.29%. There were a higher rate of complete excision, less blood loss, lower rate of excising adjacent organs and recurrence in benign tumors. No cases died during operation. Thirty-three cases relapsed after operation. Nineteen cases were subjected to re-operation.Conclusion Complete excision is the first choice for therapy of PRT. Sufficient preparation before operation is very important. The re-operation should be considered for patients with recurrent tumors.