复杂的小儿腹膜后肿瘤外科处理

Surgical treatment for complex pediatric retroperitoneal tumors

目的:探讨复杂的小儿腹膜后肿瘤的外科处理方法。方法:回顾中南大学湘雅二医院普通外科小儿组2003年1月至2008年1月5年间收治的复杂的小儿腹膜后肿瘤17例,总结外科手术处理经验。结果:17例患儿均实施了完整切除手术,且都有病理性诊断。术后死亡1例;16例恢复顺利,无并发症发生。17例手术中涉及血管手术的患儿11例,涉及联合脏器切除6例,既涉及血管移植手术又联合脏器切除的为1例。术后复发2例,均为恶性。结论:小儿复杂的腹膜后肿瘤外科完整切除手术,是减少术后复发,提高长期生存率的最有效方法。

Objective To explore and summarize the experience of surgical treatment for primary retroperitoneal tumor （PRT）in children.Methods Clinical data of 17 patients with PRT treated from January 2001 to January 2008 were retrospectively analyzed,including image examination,pathologic examination and surgical procedure.Results Seventeen patients underwent complete resection;8 benign PRT,and 9 malignant PRT were diagnosed by operation and postoperative pathologic examination.Vascular surgery was done on 11 patients,6 cases of multi-visceral resection,1 vascular transplant,and 1 multi-visceral resection.Two patients had recurrent malignant PRT.Conclusion For pediatric complex retroperitoneal tumors,complete resection can reduce the recurrence and improve the long-term survival.