摘要
目的：探讨原发性腹膜后肿瘤手术切除的方法，以提高肿瘤切除率。方法：回顾我院1993-2003年收治的62例原发性腹膜后肿瘤，就其手术处理与经验教训进行讨论。结果：第1次手术行肿瘤全切除45例，占73％，其中良性肿瘤全切除率为86％，恶性肿瘤全切除率为66％，术后1～2年生存率分别为67．2％和54．7％，而姑息切除和探查活检者均在1年内死亡。结论：术野开阔，层次清晰，是腹膜后肿瘤手术应具备的基本条件。原则上应作肿瘤完整切除，肿瘤与受累脏器应联合切除。对术后复发的肿瘤，完整切除是提高生存率的关键。
Objective： To investigate the strategy of surgical resection in primary retroperitoneaol tumor for improving the respectable rate.Methods： Sixty- two patients with primary retroperitoneaol tumors were admitted and treated between year 1993 and 2003.The surgical management and experience variables were analyzed for disease-specific and disease- free survival.Results： 45 retroperitoneal tumors （73 % ） were completely resected in their first surgery. The complete resection rate of benign tumor was 86% and that of malignant tumor was 66%. The survival rate of 1 - year and 2 - year post - operation was 67.2% and 54.7% respectively. The patients with palliative resection or biopsy died totally within 1 year.Conclusions： A wide open operating field and distinct anatomical dissection were the essential surgical condition of retroperitoneal tumor. Retrperitoneal tumor should be completely resected in principle, the tumor and invaded neighboring organs should be resected at the same time. Complete resection was the key to improving the survival rate for recurrent retroperitoneal tumor.
出处
《现代预防医学》
CAS
北大核心
2006年第8期1481-1482,共2页
Modern Preventive Medicine
关键词
腹膜后肿瘤
外科
手术
Retroperitoneal neoplasm
Surgery
Operative
