原发性腹膜后脂肪肉瘤的外科治疗

doi:10.3877/cma.j.issn.1674-0793.2009.01.011

中华普通外科学文献(电子版) ›› 2009, Vol. 03 ›› Issue (01) : 41 -43. doi: 10.3877/cma.j.issn.1674-0793.2009.01.011

论著

原发性腹膜后脂肪肉瘤的外科治疗

宋新明¹^,^†(

), 何裕隆¹, 张漓², 陈志辉¹, 李明哲¹, 黄奕华¹, 蔡世荣¹, 陈创奇¹, 詹文华¹

1.510080 广州，中山大学附属第一医院胃肠胰外科
2.广西桂林市第二人民医院普通外科

收稿日期:2008-06-19 出版日期:2009-02-01
通信作者: 宋新明

Surgical treatment of primary retroperitoneal liposarcoma

Xin-ming SONG¹^,^†(), Yu-long HE¹, Li ZHANG¹, Zhi-hui CHEN¹, Ming-zhe LI¹, Yi-hua HUANG¹, Shi-rong CAI¹, Chuang-qi CHEN¹, Wen-hua ZHAN¹

1.Department of Gastrointestinal and Pancreatic Surgery, the First Affiliated Hospital, Sun Yat-sen University,Guangzhou 510080, China

Received:2008-06-19 Published:2009-02-01
Corresponding author: Xin-ming SONG

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目的

探讨原发性腹膜后脂肪肉瘤（PRPLS）的外科治疗方法。

方法

回顾性分析1996年1月至2008年3月经手术治疗17例PRPLS患者的治疗效果。

结果

17例患者共进行手术30例次，其中13例次为首次手术，17例次为再次手术。肿瘤完整切除24例次（80.0%），其中联合脏器切除12例次（40.0%），肿瘤部分切除5例次（16.7%），探查活检1例次（3.3%）。

结论

原发性腹膜后脂肪肉瘤无论是首发还是复发，手术切除都是标准的治疗手段，晚期肿瘤姑息切除亦能减轻邻近压迫症状，改善患者生存质量，延长生存时间。

关键词: 腹膜后肿瘤, 脂肪肉瘤, 外科治疗

Objective

To investigate the surgical treatment of patients with primary retroperitoneal liposarcoma (PRPLS).

Methods

The clinical data of 17 cases with PRPLS who have been undergone resection from January 1996 to March 2008 were retrosctively analyzed.

Results

30 operations were performed on 17 cases with PRPLS totally,13 cases were first-time operation,the others were second order operation or more.24 cases underwent total recection(80.0%),including 12 cases of organ combining resection(40.0%).5 cases underwent palliative resection,1 case underwent tumor biopsy only.

Conclusions

Resection is a standard treatment for primary and recurrent PRPLS.Palliative resection for advanced PRPLS can relieve compressing symptoms caused by tumor,improving the quality ofpatients'life and prolong their survival time.

Key words: Retroperitonealneoplasms, Liposarcoma, Surgicaltreatment

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