摘要
目的探讨复杂盆腔肿瘤切除的手术入路方法。方法回顾性分析河南省肿瘤医院普外科经会阴尾骨前辅助切口行盆腔肿瘤切除的28例患者的临床资料，评价该术式的手术时间、术中出血量、围手术期死亡人数和患者的住院时间等指标。结果28例患者手术均为肉眼根治性切除术，无围手术期死亡。中位手术时间为122．5min，术中中位出血量为420ml，中位住院时间为17．5d。手术后病理类型：畸胎瘤8例，胃肠间质瘤7例，皮脂腺囊肿6例，恶性神经鞘瘤5例，神经内分泌瘤2例。结论在复杂盆腔肿块切除术中应用会阴尾骨前辅助切口，能有效提高肿瘤的切除率，降低手术风险。
Objective To explore a better operative approach to resect complicated pelvic retroperitoneal tumors. Methods A total of 28 patients with complicated pelvic retroperitoneal tumors who received surgical resection in our hospital from 2006 to 2010 were included in this study. The surgical operation was assisted with an arc-shaped transperineal incision in front of the apex of coccyx. The operation time, intraoperative blood loss, death toll and length of hospital stay of the patients were retrospectively analyzed. Results The median operation time was 122.5 minutes. The median blood loss was 420 ml, and the median length of hospital stay of the patients was 17.5 days. There was no postoperative death in this group of patients. Conclusion With the assistance of this arc-shaped transperineal incision in front of the apex of coccyx, the resection of pelvic retroperitoneal tumors can be effeetivly improved and the surgery risk is reduced.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
2012年第1期65-67,共3页
Chinese Journal of Oncology
关键词
盆腔肿瘤
外科手术
联合脏器切除
Pelvic neoplasms
Surgical procedures, operative
Multivisceral resection
