[弧形经会阴切口在尾骨尖前方用于盆腔腹膜后肿瘤切除术中的应用]
[Application of an arc-shaped transperineal incision in front of the apex of coccyx during the resection of pelvic retroperitoneal tumors].
作者信息
Wang Gang-cheng, Liu Lin-bo, Han Guang-sen, Ren Ying-kun
机构信息
Department of General Surgery, Henan Tumor Hospital, Zhengzhou, China.
出版信息
Zhonghua Zhong Liu Za Zhi. 2012 Jan;34(1):65-7.
OBJECTIVE
To explore a better operative approach to resect complicated pelvic retroperitoneal tumors.
METHODS
A total of 28 patients with complicated pelvic retroperitoneal tumors who received surgical resection in our hospital from 2006 to 2010 were included in this study. The surgical operation was assisted with an arc-shaped transperineal incision in front of the apex of coccyx. The operation time, intraoperative blood loss, death toll and length of hospital stay of the patients were retrospectively analyzed.
RESULTS
The median operation time was 122.5 minutes. The median blood loss was 420 ml, and the median length of hospital stay of the patients was 17.5 days. There was no postoperative death in this group of patients.
CONCLUSION
With the assistance of this arc-shaped transperineal incision in front of the apex of coccyx, the resection of pelvic retroperitoneal tumors can be effectively improved and the surgery risk is reduced.
目的
探索一种更好的手术方法来切除复杂的盆腔腹膜后肿瘤。
方法
本研究纳入了2006年至2010年在我院接受手术切除的28例复杂盆腔腹膜后肿瘤患者。手术操作采用在尾骨尖前方做弧形经会阴切口辅助。对患者的手术时间、术中出血量、死亡人数和住院时间进行回顾性分析。
结果
中位手术时间为122.5分钟。中位出血量为420毫升，患者的中位住院时间为17.5天。该组患者无术后死亡病例。
结论
借助尾骨尖前方的这种弧形经会阴切口，可有效提高盆腔腹膜后肿瘤的切除效果并降低手术风险。
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