摘要
目的探讨皮肤伸展技术修复老年腹壁继发性恶性肿瘤扩大切除术后全层腹壁缺损的疗效。方法回顾性分析2016年1月—2021年12月复旦大学附属华东医院及上海交通大学附属第九人民医院收治的10例老年腹壁继发性恶性肿瘤的临床资料,分析皮肤伸展技术Ⅰ期修复肿瘤扩大切除术后巨大腹壁缺损的临床效果。结果所有患者均顺利完成手术,平均手术时间(220.6±66.3)min;术后平均腹壁缺损面积(386.6±61.8)cm~2,均为Ⅲ型腹壁缺损;均采用皮肤伸展技术+补片+VSD技术关闭腹壁缺损。术后随访(27.6±13.9)个月,疝复发或腹壁膨出1例(10.0%),发生皮肤坏死感染2例(20%)。结论采用皮肤伸展技术可有效修复老年腹壁肿瘤扩大切除后的全层腹壁缺损,但仍需进一步研究证实。
Objective To explore the effect of skin stretching technique in repairing full-thickness abdominal wall defect after extended resection of abdominal wall secondary malignant tumor in the elderly.Methods The clinical data of 10 elderly patients with abdominal wall secondary malignant tumors admitted to Huadong Hospital Affiliated to Fudan University and Shanghai Ninth People’s Hospital Affiliated to Shanghai Jiaotong University from January 2016 to December 2021 were retrospectively analyzed.The clinical effect of skin stretching technique in Ⅰ-stage repair of huge abdominal wall defect after extended tumor resection was analyzed.Results All patients successfully completed the operation,and the average operation time was(220.6±66.3) min.The average postoperative abdominal wall defect area was(386.6±61.8) cm~2 and all of them were type Ⅲ abdominal wall defects.All abdominal wall defects were closed by skin stretching technique+patch+VSD technique.The postoperative follow-up period was(27.6±13.9) months.Hernia recurrence or abdominal wall bulge occurred in 1 case(10.0%),and skin necrosis and infection occurred in 2 cases(20%).Conclusion The skin stretching technique can effectively repair the full-thickness abdominal wall defect after extended resection of abdominal wall tumors in the elderly patients,but further studies are needed to confirm.
作者
杨建军
李绍春
杨董超
董文培
吴巨钢
宋致成
顾岩
Yang Jianjun;Li Shaochun;Yang Dongchao;Dong Wenpei;Wu Jugang;Song Zhicheng;Gu Yan(Department of General Surgery,Huadong Hospital Affiliated to Fudan University,Shanghai,200040,P.R.China;Department of General Surgery,Shanghai Ninth People's Hospital Affiliated to Shanghai Jiaotong University,Shanghai,200011,P.R.China)
出处
《老年医学与保健》
CAS
2022年第5期1024-1027,共4页
Geriatrics & Health Care
关键词
老年
腹壁
恶性肿瘤
腹壁缺损
修复
elderly
abdominal wall
malignant tumor
abdominal wall defect
repair
