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根治性腹膜后肿瘤手术并切除腰大肌。

Radical retroperitoneal tumor surgery with resection of the psoas major muscle.

作者信息

Shafir M, Holland J F, Cohen B, Aufses A H

出版信息

Cancer. 1985 Aug 15;56(4):929-33. doi: 10.1002/1097-0142(19850815)56:4<929::aid-cncr2820560438>3.0.co;2-7.

DOI:10.1002/1097-0142(19850815)56:4<929::aid-cncr2820560438>3.0.co;2-7
PMID:4016684
Abstract

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.

摘要

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。

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引用本文的文献

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Psoas Muscle Resection During RPLND for NSGCT Testis - Going the Extra Mile Is Worth It!睾丸非精原细胞瘤腹膜后淋巴结清扫术中的腰大肌切除术——多做一点是值得的!
Indian J Surg Oncol. 2023 Dec;14(4):779-783. doi: 10.1007/s13193-023-01776-y. Epub 2023 Jun 2.
2
Schwannoma of the psoas major muscle presenting with abdominal and back pain.表现为腹痛和背痛的腰大肌神经鞘瘤。
Dig Dis Sci. 2003 Aug;48(8):1619-21. doi: 10.1023/a:1024732310945.