一种切除腹部和盆腔神经母细胞瘤的技术。
A technique for excision of abdominal and pelvic neuroblastomas.
作者信息
Kiely Edward
机构信息
Department of Paediatric Surgery, Great Ormond Street Hospital for Children, London, UK.
出版信息
Ann R Coll Surg Engl. 2007 May;89(4):342-8. doi: 10.1308/003588407X179071.
Abstract
INTRODUCTION
As neuroblastomas usually envelope major vessels, excision poses a significant technical problem.
PATIENTS AND METHODS
Over a 22-year period, 234 infants and children have undergone attempted surgical excision of abdominal or pelvic neuroblastomas using a consistent surgical approach. This entails a systematic dissection of the involved vessels prior to removal of the tumour.
RESULTS
Macroscopically complete or near complete tumour clearance was achieved in 89% of cases. Three aortic injuries occurred which required repair.
CONCLUSIONS
The described technique is safe and reproducible and allows tumour clearance in the majority of affected children.
摘要
引言
由于神经母细胞瘤通常包绕主要血管，切除手术存在重大技术难题。
患者与方法
在22年期间，234例婴幼儿及儿童接受了采用一致手术方法的腹部或盆腔神经母细胞瘤切除尝试。这需要在切除肿瘤前对受累血管进行系统解剖。
结果
89%的病例实现了肉眼可见的完全或近乎完全肿瘤清除。发生了3例主动脉损伤，需要进行修复。
结论
所描述的技术安全且可重复，能使大多数患病儿童实现肿瘤清除。
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