Primary retroperitoneal neoplasms involving large blood vessels
10.3760/cma.j.issn.1007-631X.2011.12.007
- VernacularTitle:累及大血管的原发性腹膜后肿瘤的诊断与治疗
- Author:
Xinyu LI
;
Jiye ZHU
;
Fushun WANG
;
Lei CHEN
;
Xisheng LENG
- Publication Type:Journal Article
- Keywords:
Retroperitoneal neoplasms;
Diagnosis,computer-assisted;
Surgical procedures,operative
- From:
Chinese Journal of General Surgery
2011;26(12):994-997
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the treatment experience on primary retroperitoneal neoplasms involving large blood vessels.Methods In this study 82 patients with primary retropetropeal neoplasms were treated surgically from 1990 to 2010 and the clinical data of these patients including preoperative radiological examinations and surgery were retrospectively analyzed.Result The sensitivity and specificity of preoperative imaging examination for identifing large blood vessel involvement was 70％ and 73％respectively.Compared with those of no large blood vessel involvement,patients with large blood vessels involvement had a lower rate of tumor complete removal,more intraoperative blood loss and longer operation time( P ＜ 0.05).In group of large vascular involvement,patients undergoing complete tumor resection were all alive after 12 months,and none of those undergoing palliative resection survived more than 9 months.Conclusions Preoperative imaging allows precise evaluation on the status of large blood vessel involvement in patients of retroperitoneal tumors.Involving large vessels often predicts inability in total resection of retroperitoneal tumors.
