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目的 探讨小儿腹膜后肿瘤涉及腹腔重要血管时的处理方法 ,提高肿瘤切除率。方法 回顾我科近 10年 6 8例腹膜后肿瘤切除术中 12例累及腹腔重要血管的处理经过 ,复习文献 ,总结经验。结果 经过认真的术前准备 ,切除了 11例累及重要血管的腹膜后肿瘤 (1例肠系膜上血管受累者除外 ) ,其中血管被切断、吻合 3例 ,修补 5例 ,切除 1例。术后恢复顺利 ,无并发症发生。结论 侵及重要血管的腹膜后肿瘤已不是手术禁忌证 ,用不同方法处理受累血管 ,争取彻底切除肿瘤 ,是减少术后复发 ,提高长期存活率的有效方法
Objective To investigate the treatment of infantile retroperitoneal tumor involving the abdominal important vessels and to improve the tumor resection rate. Methods A retrospective review of the past 10 years, 68 cases of retroperitoneal tumor resection in 12 cases involving the treatment of important abdominal blood vessels after review of the literature, sum up experience. Results After careful preoperative preparation, 11 cases of retroperitoneal tumors involving the major vessels were excised (except for 1 case of superior mesenteric vascular involvement). The blood vessels were severed and anastomosed in 3 cases, repaired in 5 cases and excised in 1 case. Postoperative recovery smoothly, no complications. Conclusion Invasion of important retroperitoneal blood vessels is not a surgical contraindication, using different methods of treatment of impacted vessels for complete removal of the tumor is to reduce postoperative recurrence and improve the long-term survival rate of effective methods