不跨越中线的腹膜后巨大肿瘤的手术策略  

Surgical strategy for primary retroperitoneal giant tumor not crossing the midline

作　　者：顾焱晖 韩广森 张世甲 霍明科 赵玉洲 李剑 马鹏飞 曹养辉 

机构地区：[1]河南省肿瘤医院(郑州大学附属肿瘤医院)普外科,450000

出　　处：《中华普通外科杂志》2017年第11期911-913,共3页Chinese Journal of General Surgery

摘　　要：目的探讨不跨越中线的腹膜后巨大肿瘤的手术入路及手术策略。方法对2010年9月至2016年5月在河南省肿瘤医院手术切除的60例巨大腹膜后肿瘤（肿瘤直径〉10cm）患者的临床资料进行回顾性分析。结果59例患者顺利完整切除肿瘤，平均手术时间（110±13）min，平均出血量（635±22）ml，1例患者术后因腹腔出血死亡。60例患者中死亡32例，均因肿瘤复发死亡，中位生存时间为63个月，1、3、5年生存率分别为96％、80％、54％。结论对于不跨越中线的腹膜后巨大肿瘤采用合适的手术入路及手术策略可以缩短手术时间，提高手术安全性。Objective To explore the surgical approach of retroperitoneal giant tumors not crossing the midline. Methods We retrospectively analyzed the clinical data of 60 cases of resected giant retroperitoneal tumors （diameter 〉 10 cm） totally located one-sided of the obdominal cavity from September 2010 to May 2016 in Henan Cancer Hospital. Results Fifty-nine patients underwent successful resection of the tumor, the average operation time was （110 ± 13） min, with an average bleeding volume of （635 ± 22） ml. One patient died of postoperative intra abdominal bleeding. 32 cases died during the follow-up for tumor recurrence. The median survival time was 63 months, and the survival rates of the patients at 1, 3, and 5 years were 96% , 80% , and 54%. Conclusion For large retroperitoneal tumors within one side of the midline, appropriate surgical approach and surgical strategy can reduce the operation time and improve the operation safety.

关 键 词：腹膜后肿瘤 围手术期 外科手术 

分 类 号：R735.4[医药卫生—肿瘤]