Kirchberg J, Weitz J
Klinik und Poliklinik für Viszeral-, Thorax- und Gefäßchirurgie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
Chirurg. 2016 Mar;87(3):255-66; quiz 267. doi: 10.1007/s00104-016-0156-7.
Sarcomas are a heterogeneous group of rare tumors that originate from mesenchymal tissue. Radical R0 resection is the only curative option, which is especially challenging in retroperitoneal or intra-abdominal sarcomas. This article describes the current data on optimal interdisciplinary and primarily surgical therapy of visceral sarcomas. Surgical resection of retroperitoneal sarcomas must be performed according to the principle of radical compartmental resection, i.e. with complete excision of the mass along with en bloc visceral resection of adjacent organs and tissues covering the tumor, which also contains any not obviously infiltrated neighboring organs. The main objective is R0 resection without opening the tumor capsule in the primary operation because the best long-term results can be achieved with this approach.
肉瘤是一组起源于间叶组织的罕见异质性肿瘤。根治性R0切除是唯一的治愈选择，这在腹膜后或腹腔内肉瘤中尤其具有挑战性。本文介绍了关于内脏肉瘤最佳多学科及主要手术治疗的当前数据。腹膜后肉瘤的手术切除必须按照根治性分区切除原则进行，即完整切除肿块，并整块切除覆盖肿瘤的相邻器官和组织，包括任何未明显受浸润的邻近器官。主要目标是在初次手术中不打开肿瘤包膜进行R0切除，因为采用这种方法可取得最佳长期效果。
