腹壁肿瘤切除术后巨大/超大腹壁缺损的外科修复重建策略

腹壁肿瘤、尤其是恶性肿瘤R0切除术后会导致巨大、甚至超大腹壁缺损，选择合理的腹壁修复重建技术是治疗关键。本文总结了腹壁恶性肿瘤的临床特点、治疗现状、肿瘤扩大切除后腹壁缺损的术前评估和腹壁缺损修复重建的术式选择；重点阐释了腹壁缺损类型、缺损大小、缺损周围组织情况和患者全身情况对术式选择的重要性。

Management of large or super large abdominal wall defect after extensive abdominal wall tumor resection

Abdominal wall tumors, especial malignant tumors, will lead to large or super large abdominal wall defects after tumor extensive resection. The choice of reasonable abdominal wall repair and reconstruction techniques is the key to treatment. This paper summarized the clinical characteristics, current status of treatment, preoperative evaluation of abdominal wall defects after extensive resection of abdominal wall tumors and surgical strategy of repair and reconstruction techniques for abdominal wall defects. The importance of abdominal wall defect type, defect size, tissue around the defect and the patient's whole body to the choice of surgical procedure was emphasized.