原发性腹膜后肿瘤术后复发的再手术治疗

目的提高复发性腹膜后肿瘤的手术切除率和生存率。方法回顾性分析了我院１９８７年至１９９５年原发性腹膜后肿瘤术后复发而再手术治疗的患者３４例,其中恶性肿瘤３３例,良性肿瘤１例。共行手术５３次,完整切除肿瘤４２次（７９．２％）,姑息切除８次（１５．１％）,探查活检３次（５．７％）。结果复发性腹膜后肿瘤患者肿瘤完全切除者,１、２年生存率分别为７１．２％和６５．３％,而姑息切除和探查活检者均在１年内死亡。结论重视复发性腹膜后肿瘤的术前诊断、准备及术中处理是确保手术安全和提高生存率的关键,强调对复发性腹膜后肿瘤应积极争取完整手术切除。

Reoperative treatment of recurrent retroperitoneal tumor

Objective To improve the resection rate and survival rate for recurrent retroperitoneal tumor(RRT). Method We analysed 34 patients with RRT who were treated in our hospital from1987 to 1995. One patient had benign tumor, the others malignant.Because 7 patients were operated on over one time, we performed 53 operations including complete resection in 42 patients, palliative resection 8 and biopsy 3. Result The 1 and 2 year survival rates for complete resection cases were 71 2 % and 65 3 %. The patients who received palliative resection and biopsy died within one year. Conclusion The diagnosis, preoperative preparation and intraoperative management of RRT are important to operative safety and survival rate. We emphasize the importance of reoperation and complete resection for RRT.