作者对41例睾丸肿瘤化疗后仍存留的大的固定肿块追加腹膜后淋巴结清扫术。10例患者施行根治性切除并尝试保留一例交感神经链,结果有8例保留射精功能。33例完整切除肿块者中6例有活动性癌,其中仅1例发展成肿瘤复发。追加淋巴结清扫是有价值的,25%患者尚可保留射精功能。手术方法:①将肠管松解后翻到胸腔上用盐水纱垫包裹。对来源于右睾丸的肿瘤首先要找到输尿管和右髂外静脉。②依据腹主动脉和腔静脉将肿块分成4 The authors added retroperitoneal lymph node dissection to 41 large tumors that remained after chemotherapy. Ten patients underwent radical resection and attempted to retain one case of sympathetic chain. As a result, 8 cases retained ejaculatory function. Of the 33 patients with complete tumor resection, 6 had active cancer, and only 1 patient developed tumor recurrence. Additional lymph node dissection is valuable, and 25% of patients can retain ejaculatory function. Surgical methods: 1 Loosen the intestine and turn it over to the chest cavity with a saline gauze pad. For tumors originating from the right testis, the ureter and the right external iliac vein must first be found. 2 According to the abdominal aorta and vena cava to divide the mass into 4