生物网片治疗肿瘤切除后腹壁缺损

Z. Cao, Yuchen Liu, Yingmo Shen, Z. Zou, Yiting Liu, Jie Chen
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引用次数: 0

摘要

目的探讨生物网片在肿瘤切除后腹壁缺损修复中的临床应用价值。方法2015年9月至2017年9月,15例腹壁肿瘤放射状切除术后遗留腹壁缺损患者在北京朝阳医院疝腹壁外科接受原发性生物网片疝修补术治疗。结果15例患者均获得手术成功。手术时间95(65-145)min。住院时间17(9-22)d。随访18(17-32)个月。术后出现浆膜瘤8例,术后发热1例。1例死于晚期癌症多发系统转移。所有其他患者均进行了随访,无局部疼痛、异物感、肠梗阻、肠瘘等症状。结论生物网片治疗肿瘤切除后腹壁缺损安全可行。关键词:腹壁;疝修补术;生物筛网
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Biological mesh in the treatment of abdominal wall defect after tumor resection
Objective To investigate the clinical value of biological mesh in repairing abdominal wall defect after tumor resection. Methods 15 patients with abdominal wall defect left over by radial resection of abdominal wall tumor were treated with primary biological mesh herniorrhaphy from Sep 2015 to Sep 2017 at the Department of Hernia and Abdominal Wall Surgery of Beijing Chaoyang Hospital. Results The operation was successful in all 15 patients. The operation time was 95(65-145)min. The hospital stay was 17(9-22)d. The patients were followed up for 18(17-32) months. postoperative seroma occurred in 8 cases, postoperative fever occurred in 1 case. One case died of multiple systemic metastases of advanced gastric cancer. All the other patients were followed up without complaining about local pain, foreign body sensation, intestinal obstruction, intestinal fistula. Conclusions Biological mesh is safe and feasible for the treatment of abdominal wall defect after tumor resection. Key words: Abdominal wall; Herniorrhaphy; Biological mesh
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