中国实用外科杂志

中国实用外科杂志 ›› 2005, Vol. 25 ›› Issue (10): 1-591.

• 论著 •    下一篇

腹腔镜腹膜后肿瘤切除术的临床应用

牟一平 李冬 徐晓武 朱玲华 陈灵华 杨鹏 陈潮洪   

  1. 浙江大学医学院附属邵逸夫医院普外科 (杭州，310016)
  • 收稿日期:2005-02-04 修回日期:2005-05-20 出版日期:2005-10-20 发布日期:2005-10-20

  • Received:2005-02-04 Revised:2005-05-20 Online:2005-10-20 Published:2005-10-20

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摘要：

目的 总结应用腹腔镜行腹膜后肿瘤切除术的经验。方法 2002年11月至2004年12月，应用腹腔镜行腹膜后肿瘤切除术7 例。肿块最小45cm×30cm×20cm，最大12cm×10cm×10cm。病理诊断混合性囊腺瘤和成熟囊性畸胎瘤各2例，腹膜后囊肿、神经鞘瘤和平滑肌瘤各1例。结果 手术均获得成功，手术时间平均为120min，术中失血平均95mL，术后38h内胃肠道恢复蠕动，术后住院时间平均4d，无并发症。随访6～33个月无复发。结论 腹腔镜腹膜后肿瘤切除术具有微创、安全等优点，尤其适用于囊性或体积较小的良性腹膜后肿瘤。

Abstract:

Objective To evaluate the feasibility and efficacy of laparoscopic resection of retroperitoneal tumors. Methods Between November 2002 and December 2004,seven patients with retroperitoneal tumor underwent laparoscopic resection,the mass size ranged from 45cm×3cm×2cm to 12cm×10cm×10cm,including two cysticadenoma cases,one leiomyoma case,one Schwannoma case,two mature teratoma cases and one retroperitoneal cyst case. Results All operation succeeded with average operative time of 120 min,average blood loss was 95 mlmL.GI movement started from 38 hrs after surgery.The average postoperative hospital stay was 4 days.No complications occurred.Followup for 6~33 months without recurrence. Conclusion Laparoscopic management is safe and less traumatic in selected patients,especially for those with cystic or small and benign retroperitoneal tumors.