中国实用外科杂志

中国实用外科杂志

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腹腹股沟切口入路治疗巨大髂窝软组织肿瘤15例临床疗效研究

丘    辉，吴剑挥，李成鹏，吕    昂，刘    峭，刘伯南，钱红刚，郝纯毅   

  1. 恶性肿瘤发病机制及转化研究教育部重点实验室  北京大学肿瘤医院暨北京市肿瘤防治研究所软组织与腹膜后肿瘤中心，北京100142
  • 出版日期:2018-12-01 发布日期:2018-12-06

  • Online:2018-12-01 Published:2018-12-06

摘要：

目的    探讨腹腹股沟切口在巨大髂窝软组织肿瘤切除术中的应用方法和技巧。方法    回顾性分析北京大学肿瘤医院软组织与腹膜后肿瘤中心2015年8月至2018年2月对15例髂窝巨大肿瘤病人应用腹腹股沟切口行切除术的术中及术后资料。结果    15例病人均成功切除肿瘤（R0切除13例）。手术时间360～720 min，术中出血500～8000 mL，联合患侧髂外动（静）脉切除重建10例，结肠或直肠切除13例，肾脏切除9例，膀胱部分或全切除4例、患侧附件或睾丸切除4例。R0切除率87%，术后发生切口相关并发症1例（6.7%），无围手术期死亡病例。结论    应用腹腹股沟切口治疗巨大髂窝肿瘤暴露清晰，肿瘤切除完整，手术安全好，值得进一步开展并研究。

关键词: 腹腹股沟切口, 髂窝, 巨大软组织肿瘤

Abstract:

Abdominoinguinal incision in the resection of large soft tissue tumor at the area of iliac fossa：A report of 15 patients        QIU Hui，Wu Jian-hui，LI Cheng-peng，et al. Sarcoma Center，Peking University Cancer Hospital & Institute；Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education)，Beijing 100142，China
Corresponding author：HAO Chun-yi，E-mail：haochunyi@vip.sina.com
Abstract    Objective    To explore the safety and feasibility of abdominoinguinal incision in large tumors at the area of the iliac fossa. Methods    A total of 15 cases of large tumor at the area of the iliac fossa were performed operation through the abdominoinguinal incision from August 2015 to February 2018 in Sarcoma Center of Peking University Cancer Hospital.The clinical data were analyzed retrospectively. Results    Complete resection were successfully performed in all patients（13 R0 resection），combined with 13 colectomy，9 nephrectomy，4 total/partial cystectomy，4 adnexectomy/orchiectomy and 10 partial resection and reconstruction of external iliac vessels. The operation time and blood loss was 360 to 720 min and 500 to 8000 mL respectively. One wound infection（6.7%）was observed，and no patient died in hospital. Conclusion    The abdominoinguinal incision has a good exposure for the removal of large tumors at the area of iliac fossa.The tumors could be resected integratedly and safely.

Key words: abdominoinguinal incision, iliac fossa, large soft tissue tumor