郑伟 宋少柏 梁发启 蒋彦永 100853 北京，解放军总医院普外科 中华肿瘤杂志 1998 0 0 3


    关键词：腹膜后肿瘤/外科学 血管外科手术 脂肪肉瘤/外科学 平滑肌肉瘤/外科学 期刊 zhzlzz 0 临床研究 fur -->


    

【摘要 】 目的 提高切除侵及腹部重大血管的腹膜后肿瘤的手术技能。方法 总结近年来本院收治的腹膜后肿瘤中 25例侵及重大血管的手术切除及血管重建方面的经验。结果 经过术前准备和术前评估，精心设计手术方案，对 25例患者成功实施了腹膜后肿瘤(包括受累血管)完整切除和相应的重大血管重建，无手术死亡病例。结论 侵及重大血管的腹膜后肿瘤已不是手术禁忌证，应尽可能将受累血管及肿瘤完整切除，再行必要的血管重建，从而达到减少术后局部复发以及延长存活时间的目的。

    Major blood vessel excision andreconstruction in the treatment of retroperitoneal neoplasms Zheng Wei,Song Shaobai,Liang Faqi,et al. Department ofGeneral Surgery,General Hospital of PLA, Beijing 100853

    【 Abstract 】 Objective To summarize the experience inthe treatment of retroperitoneal tumors involving major blood vessels. Methods Twenty five cases withretroperitoneal tumors involving major blood vessels were treated by excision of the tumorand the major blood vessel involved followed by vascular reconstruction. Results After a careful preoperativeevaluation and necessary preparation, the tumor together with the involved blood vesselsin all patients are successfully resected and the severed major blood vesselsreconstructed. There was no operative death. Conclusion Retroperitoneal neoplasminvolving major blood vessels is not a contraindication for surgical resection. The tumorand the involved vessel can be removed en bloc followed by vascular reconstruction. Therisk of local tumor recurrence can thus be minimized and better survival achieved.

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