原发性腹膜后脂肪肉瘤再手术36例临床分析  

Primary retroperitoneal liposarcoma reoperation of 36 cases

作　　者：游建[1] 金鑫[1] 何鑫[1] 肖飞[1] 李鸣[1] 

机构地区：[1]华中科技大学同济医学院附属普爱医院西院腹部外科 ,武汉430034

出　　处：《腹部外科》2012年第1期22-23,共2页Journal of Abdominal Surgery

摘　　要：目的探讨原发性腹膜后脂肪肉瘤再手术的原因、处理策略及手术要点。方法对2000年6月至2010年6月间36例腹膜后脂肪肉瘤再手术的临床资料进行回顾性分析。结果原发性腹膜后脂肪肉瘤再手术的主要原因是手术切除不彻底和肿瘤的生物学特性。完全切除与不完全切除5年生存率分别为79．3％和34．5％。再手术后并发症以出血及肠瘘为主。结论原发性腹膜后脂肪肉瘤再手术既有肿瘤本身原因，也与手术相关。再次手术治疗是治疗该病术后复发病例的积极手段。把握好手术时机、术中彻底切除是再手术成功的关键。Objective To investigate the primary retroperitoneal liposarcoma reasons for re-op- eration, strategy and operation points. Methods From June 2000 to June 2010 36 re-operation cases of retroperitoneal liposarcoma were retrospectively analyzed. Results The main reasons of primary retro- peritoneal liposarcoma reoperation are incomplete surgical resection and tumor biological characteris- tics. The 5-year survial rate for complete resection and incomplete resection was 79. 3% and 34. 5% respectively. Bleeding and intestinal fistula were the major complications after reoperation. Conclusion The reasons of reoperation of primary retroperitoneal liposarcoma are variable. Reoperation is the effective strategy for recurrent cases. Intraoperative complete resection is the key of reoperation success.

关 键 词：腹膜后肿瘤 脂肪肉瘤 再手术 

分 类 号：R735.4[医药卫生—肿瘤]