Kononenko N G, Chernyĭ V A, Tolstopiatov B A, Dotsenko Iu S
Khirurgiia (Mosk). 1990 Jul(7):118-22.
Experience with 62 combined operations on patients with nonorganic new growths of the true pelvis is discussed. They accounted for 33.3% of 227 radical interventions undertaken for this disease. The ages of the patients ranged from 4 months to 64 years. Ten patients were admitted after exploratory laparotomies. Benign new growths were diagnosed in 14 and malignant new growths in 48 patients. Different variants of operative approaches were used. Most frequently the tumor was resected together with bones, iliac vessels, genitalia, and urinary bladder. Various complications were noted in 39 patients who were operated on. Hemorrhage was the most frequent and menacing complication--in 26 patients. Two patients died. Recurrences were found in 8 of a group of 60 patients discharge from the clinic. After combined operations for malignant nonorganic tumors of the true pelvis 3-year survival was 36.0%, 5-year survival was 29.4%.
讨论了对62例真性骨盆非器质性新生物患者进行联合手术的经验。这些患者占针对该疾病进行的227例根治性干预手术的33.3%。患者年龄从4个月至64岁不等。10例患者在剖腹探查术后入院。14例诊断为良性新生物,48例为恶性新生物。采用了不同的手术入路方式。最常见的是将肿瘤与骨骼、髂血管、生殖器和膀胱一并切除。39例接受手术的患者出现了各种并发症。出血是最常见且危险的并发症——26例患者出现出血。2例患者死亡。在一组60例出院患者中,8例出现复发。对真性骨盆恶性非器质性肿瘤进行联合手术后,3年生存率为36.0%,5年生存率为29.4%。