小儿腹膜后肿瘤切除术涉及重要血管的处理  

The management of major blood vessels involved in retroperitoneal neoplasms in children

作　　者：牛爱国[1] 时保军[1] 温哲[1] 李索林[1] 李振东[1] 张道荣 

机构地区：[1]石家庄河北医科大学第二附属医院小儿外科,050000

出　　处：《中华小儿外科杂志》2001年第1期8-9,共2页Chinese Journal of Pediatric Surgery

摘　　要：目的　探讨小儿腹膜后肿瘤涉及腹腔重要血管时的处理方法 ,提高肿瘤切除率。方法　回顾我科近 10年 6 8例腹膜后肿瘤切除术中 12例累及腹腔重要血管的处理经过 ,复习文献 ,总结经验。结果　经过认真的术前准备 ,切除了 11例累及重要血管的腹膜后肿瘤 (1例肠系膜上血管受累者除外 ) ,其中血管被切断、吻合 3例 ,修补 5例 ,切除 1例。术后恢复顺利 ,无并发症发生。结论　侵及重要血管的腹膜后肿瘤已不是手术禁忌证 ,用不同方法处理受累血管 ,争取彻底切除肿瘤 ,是减少术后复发 。Objective To investigate the management of the major blood vessels involved in retroperitoneal tumors and improve the resection rate.Methods Twelve cases with major vessels involved in the retroperitoneal tumors were reviewed retrospectively. Results The removal of 11 cases was successfully except one had the involvement of superior mesenteric vessels. In which , the vessels were cut off and anastomosed in 3 cases, repaired in 5 and resected in one. The postoperative course was unevenful without any complication. Conclusions Major blood vessels involved in retroperitoneal neoplasms is not a contraindiction for operation. Tumor resection, and vessels repairing or reconstruction are effective procedure to prevent relapse and improve the long term survival.

关 键 词：腹膜后肿瘤 血管外科手术 儿童 存活率 

分 类 号：R735.4[医药卫生—肿瘤] R730.56[医药卫生—临床医学]