原发性腹膜后肿瘤诊断与外科治疗25例分析  

Diagnosis and surgical treatment of 25 cases of primary retroperitoneal tumors

作　　者：陈森林 郭飞 包安娜 魏宏霞 Chen Senlin;Guo Fei;Bao Anna;Wei Hongxia(Department of General Surgery,Naval Medical Center of Naval Medical University,Shanghai 200052,China)

机构地区：[1]海军军医大学海军特色医学中心普通外科,上海200052 [2]海军军医大学附属长海医院虹口院区普通外科 [3]海军军医大学附属长海医院虹口院区麻醉科

出　　处：《海军医学杂志》2023年第8期854-857,共4页Journal of Navy Medicine

摘　　要：目的探讨原发性腹膜后肿瘤的诊断与外科治疗。方法回顾性分析2003年6月至2018年6月原海军第四一一医院收治的25例经手术治疗且病理证实的原发性腹膜后肿瘤患者的临床资料。结果25例患者中良性肿瘤13例,恶性肿瘤12例。13例良性肿瘤均获得完整切除,随访复发1例。12例恶性肿瘤患者手术完整切除9例、姑息性切除2例、探查活检1例。全组联合脏器切除7例,占肿瘤完整切除总数31.8%,其中涉及血管切除重建3例。良、恶性肿瘤术后复发再手术分别为1例和3例。全组无围手术期死亡病例。良、恶性肿瘤5年生存率分别为84.6%和25.0%。结论影像学检查对原发性腹膜后肿瘤术前诊断和手术切除至关重要。肿瘤完整切除、必要时联合脏器切除是影响原发性腹膜后肿瘤疗效及预后的重要因素。对于复发病例应选择再手术治疗。Objective To explore the diagnosis and surgical treatment of primary retroperitoneal tumors(PRT).Methods Retrospective analysis was made on the clinical data of 25 cases of PRT treated from June 2001 to June 2016 and confirmed by pathological detection.Results Of the 25 patients,13 were benign cases and 12 were malignant cases.Thirteen patients with benign tumors all received complete resection,and medical followed‑up showed that there was 1 case of relapse.Of the 12 patients with malignant tumors,9 received complete resection,2 received palliative resection and 1 case underwent laparotomy biopsy.There were 7 patients who were required to have removal of the involved organs or vessels,accounting for 31.8%of complete surgical resection,with 3 patients involving in vascular reconstruction.1 patient with recurrent benign PRT and 3 patients with malignant tumors underwent re‑surgery.There were no death cases during perioperative period.The 5‑year survival rates of benign PRT and malignant PRT were respectively 84.6%and 25.0%.Conclusion Radiological detection is essential to preoperative prediction and diagnosis of primary retroperitoneal tumors.Complete resection and en bloc organ resection if necessary is important for the treatment efficacy and prognosis of PRT.Re‑surgery should be chose for those patients with recurrent PRT.

关 键 词：腹膜后肿瘤 诊断 外科手术 复发 

分 类 号：R615[医药卫生—外科学]