摘要
目的探讨原发性腹膜后巨大肿瘤(HPRT)的外科治疗体会。方法回顾分析2008年6月~2018年6月在重庆市九龙坡区第二人民医院和九龙坡区精神卫生中心外科经手术治疗的19例HPRT的临床资料,主要分析指标有术前情况、手术方式、术后管理和随访资料。结果19例手术患者,肿瘤完整切除11例(57.89%),部分切除3例(15.79%),联合切除脏器4例(21.05%),活检1例(5.26%)。3例术后出血较多,无手术死亡、围手术期严重并发症。完成随访17例,随访时间2~28个月,7例复发,5例再手术1~2次。结论HPRT的外科治疗手术难度大、风险高,提高手术技巧和加强围手术期管理并重的外科治疗策略对HPRT具有重要意义。
Objective To investigate the surgical treatment of primary retroperitoneal giant tumor(HPRT).Methods The clinical data of 19 cases of HPRT treated surgically in the Second People's Hospital of Jiulongpo District of Chongqing City and the Jiulongpo District Mental Health Center from June 2008 to June 2018 were retrospectively analyzed.The main analysis indexes were preoperative conditions and surgery.Methods,postoperative management,and follow-up data.Results In 19 patients with surgery,11 patients(57.89%)underwent complete resection,3 patients(15.79%)underwent partial resection,4 patients(21.05%)underwent combined resection,and 1 patient(5.26%)underwent biopsy.3 patients had more postoperative bleeding,no operative death,and serious complications during perioperative period.Followup was performed in 17 patients,followed up for 2 to 28 months,7 patients had recurrence,and 5 patients underwent 1 or 2 reoperations.Conclusion The surgical treatment of HPRT is difficult and risky.The improvement of surgical techniques and the enhancement of surgical management strategies for perioperative management are of great significance for HPRT.
作者
成正军
张孝平
王亚峰
刘波
CHENG Zheng-jun;ZHANG Xiao-ping;WANG Ya-feng;LIU Bo(Department of General Surgery,the Second People's Hospital,Jiulongpo District,Chongqing400052,China;Jiulongpo District Mental Health Center,Chongqing 400052,China)
出处
《医学信息》
2019年第17期189-192,共4页
Journal of Medical Information
关键词
原发性腹膜后肿瘤
巨大
手术
围手术期
治疗策略
Primary retroperitoneal tumor
Huge
Surgery
Perioperative period
Treatment strategy
