原发性腹膜后肿瘤的手术径路与方法  

Pathway and method of operation in primary retroperitoneal tumor

作　　者：田兆仑[1] 何东生[2] 王明才[2] 申耀宗[2] 于世良[3] 

机构地区：[1]暨南大学医学院第六附属医院普外科,江门市五邑中医院,江门529000 [2]徐州医学院附属医院普外科 [3]徐州医学院第二附属医院普外科

出　　处：《医师进修杂志（外科版）》2005年第6期21-23,共3页

摘　　要：目的提高原发性腹膜后肿瘤(PRT)的手术效果。方法回顾性分析1981～2003年经手术治疗及病理证实的148例PRT的治疗情况。结果完整切除107例,其中联合脏器切除16例,完整切除率72.30%。部分切除12例,未切除探查活检29例。手术死亡3例(2.03%)。复发再手术18例(12.16%),再手术完整切除率51.22%。恶性肿瘤2、5、10年生存率分别为60.66%、29.51%、8.20%(P<0.0001)。结论合理选择手术径路、手术方法是肿瘤完整切除的关键。复发后再手术可提高生存率。Objective To investigate the efficacy of surgery for primary retroperitoneal tumor(PRT). Methods One hundred and forty-eight patients with PRT proved by operation and pathology were analyzed retrospectively. Results Complete tumor resection was performed in 107 cases (complete excision rate was 72.30%). Sixteen cases of 107 had adjacent organ resection. Partial resection was performed in 12 cases; Non-resection and biopsy were performed in 29 cases. Operative mortality was 2.03% (3 cases). Re-operative rate was 12.16% (18 cases), the complete excision rate for re-operative cases was 51.22%. The 2, 5 and 10 years survival rate were 60.66%, 29.51% and 8.20%(P<0.000 1) respectively. Conclusion Suitable procedure of surgery is the key of tumor complete excision. Re-operation for recurrence cases may enhance the survival rate of PRT.

关 键 词：原发性腹膜后肿瘤 手术径路 联合脏器切除 10年生存率 完整切除 2003年 回顾性分析 复发再手术 手术效果 治疗情况 病理证实 手术治疗 部分切除 手术死亡 恶性肿瘤 手术方法 切除率 PRT 未切除 

分 类 号：R735.4[医药卫生—肿瘤] R735.205[医药卫生—临床医学]