Li Ming,Li Yong,Xiao Yaling,et al.Application of vascular skeletal anatomy in children with retroperitoneal tumor resection[J].Journal of Clinical Pediatric Surgery,,20():773-777.[doi:10.12260/lcxewkzz.2021.08.013]
Application of vascular skeletal anatomy in children with retroperitoneal tumor resection
- Keywords:
- Retroperitoneal Neoplasms; Vascular skeletalization; Surgical Procedures; Operative; Child
- CLC:
- R735.4;R726.1
- Abstract:
- Objective To explore the application value of vascular skeletal anatomy in children with retroperitoneal tumor resection and evaluate its effectiveness and safety. Methods From January 2018 to December 2019, a total of 23 children underwent retroperitoneal tumor resection through vascular skeletal anatomy. Retrospective analysis was performed for gender, age, tumor type/stage, surgical approach, complete degree of tumor resection, operative duration, intraoperative volume of blood loss and incidence of postoperative complications. Results There were 16 boys and 7 girls with a median age of 2.8(1/4-12) years. There were retroperitoneal neuroblastoma (including ganglioneuroblastoma & gangliocytoma, n=15), retroperitoneal teratoma (n=3), solid pancreatic pseudopapillaryneoplasm (n=2) and retroperitoneal lymphangioma (n=3). Laparoscopy (n=4) and laparotomy (n=19) were performed. In all cases, tumor was successfully removed and the completeness of tumor removal surpassed 95%. There was no major vascular injury and no organ resection related to vascular injury. There were chylous fistula (n=2, 8.7%) and renal atrophy (n=1, 4.3%). Conclusion Vascular skeletal anatomy improves the resection rate of retroperitoneal tumor and reduces the risk of organ resection or organ atrophy related to vascular injury. It is a relatively safe and effective method of intraoperative anatomy.
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Memo
收稿日期:2020-10-13。
基金项目:湖南省自然科学基金（编号：2018JJ2210）
通讯作者:李勇,Email:liyongpuwaike@163.com