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如何对腹壁巨大缺损,特别是腹壁肿瘤扩大切除术后形成的腹壁缺损进行有效修复重建至今仍是困扰外科医师的一大难题。在腹壁缺损修复前对其进行准确的分型是选择恰当手术方案的基础,也是术后比较与判断其疗效的前提。对术前病人状况进行认真评估及针对性的准备是进行手术的必要条件。了解并正确掌握植入材料修复技术、组织结构分离技术及自体组织移植技术并根据腹壁缺损的类型、大小及周围组织状况选择合理的术式是腹壁巨大缺损修复重建成功的保证。

Repair of huge abdominal wall defect following abdominal wall tumor resection

??Repair of huge abdominal wall defect following abdominal wall tumor resection GU Yan, TANG Rui, GONG Ding-quan. Hernia and Abdominal Wall Disease Center, Shanghai Jiao Tong University; Department of General Surgery, Shanghai Ninth Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
Corresponding author??GU Yan, E-mail??Yangu@sjtu.edu.cn
Abstract Repair and reconstruction of huge abdominal wall defects, especially following extensive abdominal wall tumor resection is still a challenge to most of surgeons. An initial assessment and comprehensive preoperative care are essential before the operation. A simple classification system should be proposed and the algorithm for abdominal repair and reconstruction based on the classification system will guide the surgeon in selecting the most appropriate repair and reconstructive options in treatment of patients with huge abdominal wall defects. Prosthetic repair, components separation and pedicled or free flaps are the most important surgical techniques for abdominal wall defect reconstruction.