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| 原发性腹膜后肿瘤的手术径路与方法 | |
| 引用本文： | 田兆仑,何东生,王明才,申耀宗,于世良. 原发性腹膜后肿瘤的手术径路与方法[J]. 中国医师进修杂志, 2005, 28(12): 21-23 |
| 作者姓名： | 田兆仑 何东生 王明才 申耀宗 于世良 |
| 作者单位： | 1. 529000,江门,暨南大学医学院第六附属医院普外科、江门市五邑中医院 2. 徐州医学院附属医院普外科 3. 徐州医学院第二附属医院普外科 |
| 摘 要： | 目的提高原发性腹膜后肿瘤(PRT)的手术效果。方法回顾性分析1981～2003年经手术治疗及病理证实的148例PRT的治疗情况。结果完整切除107例,其中联合脏器切除16例,完整切除率72.30%。部分切除12例,未切除探查活检29例。手术死亡3例(2.03%)。复发再手术18例(12.16%),再手术完整切除率51.22%。恶性肿瘤2、5、10年生存率分别为60.66%、29.51%、8.20%(P<0.0001)。结论合理选择手术径路、手术方法是肿瘤完整切除的关键。复发后再手术可提高生存率。 |
| 关 键 词： | 原发性腹膜后肿瘤 外科手术 完整切除 |
| 修稿时间： | 2005-02-18 |
Pathway and method of operation in primary retroperitoneal tumor |
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| TIAN Zhao_lun,HE Dong_sheng,WANG Ming_cai,et al.. Pathway and method of operation in primary retroperitoneal tumor[J]. Chinese Journal of Postgraduates of Medicine, 2005, 28(12): 21-23 | |
| Authors: | TIAN Zhao_lun HE Dong_sheng WANG Ming_cai et al. |
| Affiliation: | TIAN Zhao_lun,HE Dong_sheng,WANG Ming_cai,et al.Department of General Surgery,The Sixth Affiliated Hospital of Jinan University Medical College,Jiangmen 529000,China |
| Abstract: | Objective To investigate the efficacy of surgery for primary retroperitoneal tumor(PRT). Methods One hundred and forty-eight patients with PRT proved by operation and pathology were analyzed retrospectively. Results Complete tumor resection was performed in 107 cases (complete excision rate was 72.30%). Sixteen cases of 107 had adjacent organ resection. Partial resection was performed in 12 cases; Non-resection and biopsy were performed in 29 cases. Operative mortality was 2.03% (3 cases). Re-operative rate was 12.16% (18 cases), the complete excision rate for re-operative cases was 51.22%. The 2, 5 and 10 years survival rate were 60.66%, 29.51% and 8.20%(P<0.000 1) respectively. Conclusion Suitable procedure of surgery is the key of tumor complete excision. Re-operation for recurrence cases may enhance the survival rate of PRT. |
| Keywords: | Primary peritoneal tumor Surgery Complete excision |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |