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目的探讨Cattell-Braasch入路在腹膜后肿瘤手术中的应用价值及安全性。方法对2007年7月至2015年3月北京大学肿瘤医院术中使用Cattell-Braasch入路的47例腹膜后肿瘤病例的临床资料进行回顾性分析。结果所有病人均完整切除肿瘤。总手术时间110~835 min(平均320 min),Cattell-Braasch入路所需的时间一般为10~15 min。术中出血量50~4500 m L,肿瘤最大径为3.2~39.5 cm。术中无一例因该手法造成腹腔器官或血管的意外损伤。结论 Cattell-Braasch入路可提供满意的腹膜后间隙术野显露,提高腹膜后肿瘤整块切除的安全性。
Objective To investigate the value and safety of Cattell-Braasch approach in retroperitoneal tumor surgery. Methods The clinical data of 47 cases of retroperitoneal tumor using Cattell-Braasch approach during operation from Peking University Cancer Hospital from July 2007 to March 2015 were analyzed retrospectively. Results All patients underwent complete resection of the tumor. The total operative time was 110 to 835 minutes (average 320 minutes), and the time required for Cattell-Braasch access was generally 10 to 15 minutes. Intraoperative bleeding 50 ~ 4500 m L, the largest tumor diameter of 3.2 ~ 39.5 cm. None of the cases resulted in accidental injury of the abdominal organs or blood vessels due to the technique. Conclusions The Cattell-Braasch approach provides satisfactory postoperative exposure of the retroperitoneal space and improves the safety of the entire resection of the retroperitoneal tumor.