Shafir M, Holland J F, Cohen B, Aufses A H
Cancer. 1985 Aug 15;56(4):929-33. doi: 10.1002/1097-0142(19850815)56:4<929::aid-cncr2820560438>3.0.co;2-7.
Three patients with extensive retroperitoneal cancer are presented, in whom the psoas muscle was resected as part of a radical tumor excision. The resection of the psoas muscle, including the femoral nerve, which travels in its substance, and the genitofemoral and ilioinguinal nerves, caused little morbidity (denervation weakness of the quadriceps and anterior high numbness) and improved the quality of the excision. Ablation of the psoas muscle is technically possible; it may improve the patient's outlook both for palliation and for curative intent.
本文报告了3例广泛腹膜后癌患者,他们接受了腰大肌切除术作为根治性肿瘤切除的一部分。腰大肌切除术,包括切除走行于其中的股神经、生殖股神经和髂腹股沟神经,导致的发病率较低(股四头肌去神经支配性无力和前侧高位麻木),并提高了切除质量。从技术上来说,切除腰大肌是可行的;这可能改善患者的姑息治疗和根治性治疗前景。