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目的 探讨累及髂动静脉的盆腔腹膜后肿瘤手术切除时 ,髂血管的处理方法 ,以提高切除率。方法 总结 1994年 7月至 1999年 6月手术切除累及髂动静脉的盆腔腹膜后肿瘤 14例 ,合并髂动静脉切除及重建的经验。其中合并右侧髂动静脉切除与重建 6例 ,合并左侧髂血管切除与重建 8例。结果 随访 3个月至 5年 ,平均随访 3 2年。 3例肿瘤复发再切除 ,无一例死亡。结论 累及髂动静脉的盆腔腹膜后肿瘤手术合并髂血管切除与重建安全、有效、可行 ,大大提高肿瘤切除率 ,降低复发率。
Objective To investigate the treatment of iliac vessels during surgical resection of pelvic retroperitoneal tumors involving the iliac arteriovenous vein in order to increase the resection rate. METHODS: From July 1994 to June 1999, surgical resection of pelvic retroperitoneal tumors involving the iliac arteries and veins was performed in 14 patients. The experience of combined axillary vein resection and reconstruction was reviewed. Among them, 6 cases of right iliac arteriovenous resection and reconstruction were combined, and 8 cases of left iliac artery resection and reconstruction were combined. The results were followed up for 3 months to 5 years, with an average follow-up of 32 years. Three cases of tumor recurrence were re-excised and none died. Conclusion The pelvic retroperitoneal tumors involving the iliac arteries and veins are safe, effective and feasible in the operation and reconstruction of the iliac vessels. It can greatly increase the tumor resection rate and reduce the recurrence rate.