15例盆腔腹膜后肿瘤手术髂血管切除与重建经验

Experience in 15 Patients with Combined Resection of Pelvic Retroperitoneal Neoplasm and Reconstruction of Iliac Blood Vessels

目的：探讨累及髂动、静脉的盆腔腹膜后肿瘤手术切除时骼血管的处理方法，以提高切除率。方法：总结１９９４年７月～１９９９年６月手术切除累及髂动静脉的盆腔腹膜后肿瘤１５例，合并髂动、静脉切除与重建的经验。其中合并右侧髂动、静脉切除与重建６例，合并左髂血管切除与重建９例。结果：随访３～５年，平均随访３２年，除１例髂静脉移植物于术后７个月血栓栓塞，其余移植物均通畅。３例肿瘤复发再切除，无１例死亡。结论：累及髂动、静脉的盆腔腹膜后肿瘤手术合并髂血管切除与重建安全、有效、可行，大大提高肿瘤切除率，降低复发率。

Objective: To study the surgical manipulation of iliac blood vessels invaded by pelvic tumors in order to raise the resection rate. Methods: Review the 15cases of resection for pelvic retroperitoneal tumors along with the reconstruction of iliac blood vessels in our hospital from 1994. 7-1999. 6 with 6 operations on the right iliac arteries and veins while 9 cases on the left. Results: After follow - up of 3 months to 5 years (average 3. 2 years), there were 3 patients of recurrence necessary for second operation but no mortality. All the grafts were patent except one venous with graft occlusion 7 months after operation. Conclusion: Combined resection of pelvic retroperitoneal neoplasm and reconstruction of iliac blood vessels is safe, effective and practical, also effective to raise the excision rate and decrease the recurrence rate.