关键词: 孤立性纤维肿瘤, 胸膜, 手术方式

Abstract:

Objective: To investigate a safe and convenient way to perform an enblocresection of giant solitary fibrous tumor of pleura (SFTP). Methods: The clinical data of 5 patients with giant SFTP(the diameter>10 cm) were collected. Enhanced CT method was used to search the nutrient artery of tumor.Thoracoscope was used to select the location and diameter of the tumor and to assist the separation from the important organ and exposure the operation field,so as to resect the tumor completely.The operation method,diameter of the tumor,operation time,blood loss,drainage time,incisal margin and postoperative complications were recorded. Results: The tumor of 5 patients were all removed.The mean operation time was 112 min.The blood lose during the operation was 210 mL.The mean drainage time was 3.8 d.There were no perioperative death.There was no tumor recurrence found in the 6-36 months follow up. Conclusion: For the SFTP patients, an enhanced CT and artery embolization preoperatively should be perfomed to judge the blood supplyment of tumor and its relationship with surrounding organs.Thoracotomy assisted by thoracoscope may offer a safe and feasible method to accomplish an enblocresection.

Key words: solitary fibrous tumor, pleura, operation method