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累及大静脉的复杂性腹膜后肿瘤是临床处理棘手的问题,手术中易导致大出血,手术难度大。术前应进行详细的影像学分析,评估切除瘤体和受累血管的可行性,制定详细的手术计划。采用血管外科手术技术,分离被肿瘤累及的大静脉,或切除受肿瘤累及的血管,必要时行血管重建术,以达到彻底切除病变的目的。术后妥善处理,保持受累及的血管长期通畅,避免远端脏器回流障碍,均有助于提高腹膜后肿瘤的切除率,提高病人术后生存质量。
The complexity of involving the large veins Retroperitoneal tumor is a difficult problem in clinical management, surgery can easily lead to major bleeding, surgery is difficult. Preoperative imaging should be carried out detailed analysis to assess the feasibility of excision of the tumor and affected vessels to develop a detailed surgical plan. The use of vascular surgery techniques, the separation of the tumor involving the large vein, or removal of the tumor involving the blood vessels, if necessary, vascular reconstruction, in order to achieve the purpose of complete removal of the lesion. Proper management after surgery to maintain long-term vascular involvement and avoid distal organ reflux disorders are helpful to improve the resection rate of retroperitoneal tumors and improve postoperative quality of life.