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目的总结原发性腹膜后巨大肿瘤的外科手术经验。方法回顾性分析1998~2002年18例腹膜后巨大肿瘤手术治疗的临床资料。结果14例完整切除,1例大部切除,3例剖腹探查加活检术。14例恶性肿瘤中有10例完整切除,其中8例行联合脏器切除;4例良性肿瘤均完整切除,其中1例行联合脏器切除,无手术死亡。随访3年,18例中14例健在,死亡4例,肿瘤复发14例。结论准确的术前评估、恰当的手术径路、良好的手术技能是提高手术切除率的关键。
Objective To summarize the surgical experience of primary retroperitoneal giant tumors. Methods The clinical data of 18 cases of retroperitoneal giant tumor surgery from 1998 to 2002 were analyzed retrospectively. Results 14 cases of complete resection, 1 case of partial resection, 3 cases of laparotomy plus biopsy. Of the 14 malignant tumors, 10 were completely resected, of which 8 were resected together with organs. Four of the benign tumors were completely resected. One of the 14 patients underwent resection of the organ with no surgical death. After 3 years of follow-up, 14 cases were alive in 18 cases, 4 died and 14 cases had tumor recurrence. Conclusion Accurate preoperative assessment, appropriate surgical approach, and good surgical skills are the keys to improve the surgical resection rate.