【摘要】 目的 探讨腹膜后肿瘤的临床特点及治疗体会。方法 回顾性分析自2013年5月至2022年5月新疆维吾尔自治区人民医院肝胆外科收治的84例腹膜后肿瘤的临床资料，并对比腹腔镜手术与开腹手术患者的相关指标。结果 84例患者中，男性37例，女性47例，平均年龄（51.01±15.13）岁（12.00-80.00岁）。临床表现主要为腹痛（41.67%），其次是体检发现（38.10%）。脂肪肉瘤最为常见，占15.79%。其中67例行手术治疗，28例行腹腔镜手术，38行开腹手术，1例中转开腹手术。对于肿瘤直径<10.00cm病例，术中出血量在腹腔镜（25.00(11.25,87.50)ml）组显著少于开腹组（200.00(100.00,675.00)ml）(P <0.001)，手术时间在腹腔镜组（2.00(2.00,3.00)h）显著少于开腹组（3.88±3.32h）(P <0.05)，住院时间在腹腔镜组（17.00(12.25,24.75)天）与开腹组（19.00(11.00,26.00)天）无明显差异（P>0.05）。结论 腹膜后肿瘤病理复杂，部分腹膜后肿瘤行腹腔镜下切除术是安全有效的；对于直径小于10cm肿瘤，腹腔镜手术具有出血少及手术时间短的优势。更多还原

【Abstract】 Objective To explore the clinical feature and experience of treat on retroperitoneal tumor.Method Clinical data of 84 patients with retroperitoneal tumor from May 2013 to May 2022 in Department of hepatobiliary surgery of Xinjiang Uygur Autonomous Region People’s Hospital were analyzed retrospectively and compare the clinical data between laparoscopic group and open group.Results 37 cases were male and 47 cases were female in 84 cases. The mean of age was(51.01±15.13) years, which was from 12 years old to 80 years old. Abdominal pain(41.67%) was the main clinical manifestation, and followed by found by examination(38.10%). Liposarcoma was the most frequent type(15.79%). The tumors were resected in 67 patients, in which 28 patients were given laparoscopic surgery, 38 patients were given open surgery and 1 patient was given laparoscopic surgery transfer to open surgery. For the patients with diameter of tumor smaller than 10 cm,the blood loss in the laparoscopic group(25.00(11.25,87.50)ml)was less than in the open group(200.00(100.00,675.00)ml)(P<0.001). Operation time in the laparoscopic group(2.00(2.00,3.00)h)was shorter than in the open group(3.88±3.32 h)(P<0.05).There was no difference in hospital stay time between the laparoscopic group(17.00(12.25,24.75)days)and the open group(19.00(11.00,26.00)days)(P>0.05). Conclusion The Pathological of retroperitoneal tumor is complex, and laparoscopic surgery is safe and effective for part of retroperitoneal tumor. For the patients with diameter of tumor smaller than 10 cm,laparoscopic surgery is less blood loss and less operation time.更多还原