巨大腹膜后肿物切除联合胰十二指肠切除10例诊治分析
发布时间：2018-08-08 12:23
【摘要】：目的探讨巨大腹膜后肿物切除时联合胰十二脂肠切除是否显著增加手术风险。方法回顾性分析2015年9月至2016年10月北京大学肿瘤医院软组织与腹膜后肿瘤中心行巨大腹膜后肿物切除联合胰十二指肠切除10例病人临床资料,总结其手术相关并发症及围手术期效果。结果 10例病人均顺利切除肿瘤。手术时长为360~1020 min,术中出血量400~6000 mL,10例病人除联合胰十二指肠切除外,均联合了结肠的部分切除,6例联合了血管的切除和替代,5例联合右肾及右肾上腺的切除,5例行右侧膈肌的部分切除及修补,4例联合肝脏的切除。术后发生B级以上胰瘘2例,Clavien-DindoⅢa级以上并发症2例,无围手术期死亡病例。结论腹膜后巨大肿物切除联合胰十二指肠切除术并不显著增加手术风险,安全可行。
[Abstract]:Objective to investigate whether combined pancreaticoidectomy with resection of giant retroperitoneal tumor significantly increases the risk of operation. Methods from September 2015 to October 2016, the clinical data of 10 patients with giant retroperitoneal mass resection combined with pancreaticoduodenectomy in the soft tissue and retroperitoneal tumor center of Peking University Oncology Hospital were retrospectively analyzed. The operative complications and perioperative effect were summarized. Results all the 10 patients were excised successfully. The operative time was 360m / 1020 min, and the blood loss during the operation was 400 mL and 6000 ml / min, except for pancreaticoduodenectomy. All cases were combined with partial resection of colon (6 cases) combined with vascular resection and replacement (5 cases) with right kidney and right adrenal gland (5 cases) with partial resection of right diaphragm (5 cases) and liver with repair (4 cases). Postoperative complications of above B grade pancreatic fistula occurred in 2 cases with Clavien-Dindo 鈪，
本文编号：2171777
[Abstract]:Objective to investigate whether combined pancreaticoidectomy with resection of giant retroperitoneal tumor significantly increases the risk of operation. Methods from September 2015 to October 2016, the clinical data of 10 patients with giant retroperitoneal mass resection combined with pancreaticoduodenectomy in the soft tissue and retroperitoneal tumor center of Peking University Oncology Hospital were retrospectively analyzed. The operative complications and perioperative effect were summarized. Results all the 10 patients were excised successfully. The operative time was 360m / 1020 min, and the blood loss during the operation was 400 mL and 6000 ml / min, except for pancreaticoduodenectomy. All cases were combined with partial resection of colon (6 cases) combined with vascular resection and replacement (5 cases) with right kidney and right adrenal gland (5 cases) with partial resection of right diaphragm (5 cases) and liver with repair (4 cases). Postoperative complications of above B grade pancreatic fistula occurred in 2 cases with Clavien-Dindo 鈪，
本文编号：2171777
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