【摘要】 目的探讨原发性腹膜后肿瘤的外科治疗。方法回顾性分析 1992年以来原发性腹膜后肿瘤手术切除 10 1例 ,总结提高手术治疗效果的策略。结果10 1例患者中良性肿瘤 38例 ,恶性肿瘤 6 3例 ,均经术后病理证实。肿瘤完整切除率 71.2 9%。良性肿瘤的手术完整切除率高于恶性肿瘤 ,术中失血少 ,需要合并切除的脏器少 ,术后复发率相对低。全部病人无一例术中死亡。术后复发 33例 ,再次手术 19例。结论手术完整切除是腹膜后肿瘤治疗首选的方法 ,术前准备非常重要 ,对复发的肿瘤应该争取再次手术更多还原

【Abstract】 Objectives To explore the surgical therapy of primary retroperitoneal tumor(PRT).MethodsOne hundred and one cases of PRT resected by operation since 1992 were analyzed retrospectively and strategy to improve the therapeutic efficacy of surgical operation was also summarized.ResultsThirty eight cases of benign tumors and 63 cases of malignant ones were all confirmed by pathological section after operation. The rate of complete excision was 71.29%. Benign tumors had a rate of complete excision higher than that of malignant tumors, with less blood loss, lower rate of excising adjacent organs and postoperative recurrence. No cases died during operation. Thirty three cases relapsed after operation and 19 cases were subjected to re operation.ConclusionComplete excision is the first choice in treatment of PRT. Sufficient preparation before operation is very important. The second operation should be considered for patients with recurrent tumors.更多还原