原发性腹膜后巨大肿瘤外科手术经验

Surgical Experience in Huge primary Retroperitoneal Tumor

目的 提高腹膜后巨大肿瘤手术切除率 ,减少并发症发生。方法 对近 2 0年来 16 4例腹膜后肿瘤中直径大于 10cm者 86例进行回顾性临床分析。结果 86例巨大腹膜后肿瘤行根治性切除 6 9例 ,部分切除 12例 ,仅行活检 5例。手术死亡 1例 ,其余均痊愈出院。结论 腹膜后巨大肿瘤病理类型多 ,手术难度及危险性大。手术中必须具备良好的麻醉、充分的显露、轻柔精细的操作和正确理性的决断才能有效地减少并发症 ,提高手术切除率。

Objective To promote the resection rate and decrease the complication for huge primary retroperitoneal tumor surgery. Methods A serial retropective study was performed on 86 retroperitoneal tumor cases with the diameter more than 10cm out of 164 serial cases in late 20 years. Results Radical resection were performed in 69 cases and partial in 12 cases, and 5 cases biopsy only. One case died while others recovered well after operation. Conclusions The huge retroperitoneal tumor are characterized by multiple pathologic types, dangerous and difficult to resect. The effective anesthesia, wide enough exposure, fine and precise operation with proper decision and correct judge are the key to decrease complication and increase the resection rate.