Tereshin O S, Zotov S P, Vazhenin A V, Mamonova A O
Vestn Khir Im I I Grek. 2013;172(1):94-8.
The therapeutic approach should be defined more exactly in proximity of residual retroperitoneal metastases of germ cell testicular tumor and main vessels (left after chemotherapy). The data of 29 (24%) patients were analyzed over a period of time since 2003 till 2011. The general survival was 82% in the group without lymph node dissection (17 patients) in median observation of 27.5 months. The proximity with main vessels was registered in half of the cases in the group of operated patients (12 people), a single vascular reconstruction was required. The general survival was 97% in median observation for 35 months. The involvement of main vessels of retroperitoneal space significantly complicated the retroperitoneal lymph node dissection, but didn't have negative prognostic value.
对于睾丸生殖细胞肿瘤残留的腹膜后转移灶靠近主要血管（化疗后左侧）的情况，治疗方法应更精确地界定。自2003年至2011年期间，对29例（24%）患者的数据进行了分析。在未进行淋巴结清扫的17例患者组中，中位观察期为27.5个月，总体生存率为82%。在接受手术的患者组（12人）中，一半的病例发现转移灶靠近主要血管，其中1例需要进行血管重建。中位观察期为35个月时，总体生存率为97%。腹膜后间隙主要血管受累显著增加了腹膜后淋巴结清扫的复杂性，但无负面预后价值。
