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中华疝和腹壁外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (04) : 407 -411. doi: 10.3877/cma.j.issn.1674-392X.2025.04.008

所属专题: 文献

论著

Sublay术式腹壁重建用于腹壁韧带样纤维瘤根治性切除的回顾性研究
李俊廷, 杨世炜, 易张弛, 李晨晔, 周佳其, 梁贺, 毛语霏, 王永()   
  1. 610044 成都,四川大学华西医院胃肠外科
  • 收稿日期:2025-06-27 出版日期:2025-08-18
  • 通信作者: 王永
  • 基金资助:
    四川省科技厅自然科学基金项目(2023NSFSC0324); 四川大学华西医院医疗新技术、新项目/四川大学华西医院学科卓越发展1·3·5工程项目(20HXJS009)

Retrospective study on sublay abdominal wall reconstruction following radical resection of abdominal wall desmoid-type fibromatosis

Junting Li, Shiwei Yang, Zhangchi Yi, Chenye Li, Jiaqi Zhou, He Liang, Yufei Mao, Yong Wang()   

  1. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610044, China
  • Received:2025-06-27 Published:2025-08-18
  • Corresponding author: Yong Wang
引用本文:

李俊廷, 杨世炜, 易张弛, 李晨晔, 周佳其, 梁贺, 毛语霏, 王永. Sublay术式腹壁重建用于腹壁韧带样纤维瘤根治性切除的回顾性研究[J/OL]. 中华疝和腹壁外科杂志(电子版), 2025, 19(04): 407-411.

Junting Li, Shiwei Yang, Zhangchi Yi, Chenye Li, Jiaqi Zhou, He Liang, Yufei Mao, Yong Wang. Retrospective study on sublay abdominal wall reconstruction following radical resection of abdominal wall desmoid-type fibromatosis[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2025, 19(04): 407-411.

目的

分析腹壁韧带样纤维瘤根治性切除术后使用肌后修补(Sublay)术式进行腹壁重建的临床效果及可行性。

方法

回顾性分析2012年6月至2023年6月于四川大学华西医院接受腹壁韧带样纤维瘤根治性切除术并使用Sublay术式进行腹壁重建的78例患者的临床资料。对患者的一般资料、手术情况、住院时长等进行分析,并随访记录患者术后复发、切口疝形成、血清肿等情况。

结果

所有患者均顺利完成Sublay术式重建腹壁,术中见肿瘤大小平均(7.56±2.58)cm×(5.54±1.99)cm,肿瘤切除后腹壁缺损大小平均(13.61±2.25)cm×(11.46±1.42)cm。术后住院时长为3~38 d,平均(7.70±2.90)d。术后并发血肿1例,肿瘤复发1例。术后随访2年,所有患者均未见切口疝形成。

结论

对于接受腹壁韧带样纤维瘤根治性切除术且切除后缺损较大的患者,使用Sublay术式行腹壁重建的方法安全且有效。

Objective

To evaluate the clinical efficacy and feasibility of abdominal wall reconstruction using the Sublay technique following radical resection of abdominal desmoid-type fibromatosis.

Methods

We conducted a retrospective analysis on the clinical data of 78 patients who underwent radical resection for abdominal wall desmoid-type fibromatosis followed by Sublay mesh reconstruction at West China Hospital, Sichuan University between June 2012 and June 2023. Demographics, surgical parameters, hospitalization duration were analyzed, and postoperative outcomes (including recurrence, incisional hernia formation, and seroma development) of patients were followed up and recorded.

Results

All patients successfully completed the Sublay abdominal wall mesh reconstruction. Intraoperative findings revealed that the average tumor size was (7.56±2.58) cm×(5.54±1.99) cm, and the post-resection abdominal wall defects averaged (13.61±2.25) cm×(11.46±1.42) cm. Postoperative hospitalization averaged (7.70±2.90) days (range 3-38 days). Postoperative complications included hematoma (1 case) and tumor recurrence (1 case). During the 2-year follow-up period, no cases of incisional hernia were observed.

Conclusion

The Sublay technique demonstrates safety and efficacy for abdominal wall large defect reconstruction following radical resection of abdominal wall desmoid-type fibromatosis.

图1 1例腹壁巨大韧带样纤维瘤患者行皮瓣移植联合Sublay术式重建腹壁手术情况注:1A腹壁巨大韧带样纤维瘤术前外观照;1B腹壁巨大韧带样纤维瘤术前CT检查;1C逐层切开皮肤、皮下组织、深筋膜后暴露肿瘤包块;1D完整切除的巨大肿瘤(15 cm×12 cm);1E腹壁巨大缺损(20 cm×15 cm)在肌后间隙放置补片;1F术后2周,腹壁巨大缺损(20 cm×15 cm)皮瓣移植重建后切口状态。
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