中国实用外科杂志

中国实用外科杂志

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腹膜后肿瘤手术中Cattell-Braasch入路应用价值研究

李成鹏，钱红纲，冷家骅，丘    辉，吴剑挥，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:2015-09-01 发布日期:2015-08-28

  • Online:2015-09-01 Published:2015-08-28

摘要：

目的    探讨Cattell-Braasch入路在腹膜后肿瘤手术中的应用价值及安全性。方法    对2007年7月至2015年3月北京大学肿瘤医院术中使用Cattell-Braasch入路的47例腹膜后肿瘤病例的临床资料进行回顾性分析。结果    所有病人均完整切除肿瘤。总手术时间110～835 min（平均320 min），Cattell-Braasch入路所需的时间一般为10～15 min。术中出血量50～4500 mL，肿瘤最大径为3.2～39.5 cm。术中无一例因该手法造成腹腔器官或血管的意外损伤。结论    Cattell-Braasch入路可提供满意的腹膜后间隙术野显露，提高腹膜后肿瘤整块切除的安全性。

关键词: Cattell-Braasch入路, 腹膜后肿瘤, 腹膜后间隙

Abstract:

Application of Cattell-Braasch maneuver in the surgical treatment of retroperitoneal tumors        LI Cheng-peng，QIAN Hong-gang，LENG Jia-hua，et al. Key Laboratory of Carcinogenesis and Translational Research（Ministry of Education），Sarcoma Center，Peking University Cancer Hospital & Institute，Beijing100142，China
Corresponding author：HAO Chun-yi，E-mail：haochunyi@vip.sina.com
Abstract    Objective    To investigate the feasibilities and safeties of the application of Cattell-Braasch maneuver in the surgical treatment of retroperitoneal tumors. Methods    The clinical data of 47 cases of retroperitoneal tumors which explored by Cattell-Braasch maneuver intraoperatively at Peking University Cancer Hospital between July 2007 and March 2015 were analyzed retrospectively. Results    All tumors in 47 cases were resected completely. Operations lasted for 110 to 835 min (average：320min)，in which only 10 to 15 min were needed for Cattell-Braasch maneuver. The blood loss was 50 to 4500mL. The sizes of the resected tumor were 3.2 to 39.5cm. Neither abdominal organs nor vessels were accidentally injured by Cattell-Braasch maneuver in all cases. Conclusion    Cattell-Braasch maneuver could provide satisfactory explosion of retroperitoneal spaces and improve security of en-bloc resection of retroperitoneal tumors.

Key words: Cattell-Braasch maneuver, retroperitoneal tumors, retroperitoneal space