Abstract:

Feasibility study of one-stage surgery of intracardiac leiomyomatosis through an abdominal approach        XU Jing*，JIANG Ying，TONG Han-xing，et al. *Department of General Surgery，Zhongshan Hospital，Fudan University，Shanghai 200032，China
Corresponding author：LU Wei-qi，E-mail：lu.weiqi@zs-hospital.sh.cn
Abstract    Objective    To investigate the feasibility of abdominal surgical resection of intracardiac leiomyomatosis. Methods    The clinical data of 4 cases of intracardiac leiomyomatosis performed in zhongshan Hospital，Fudan University from December 2015 to August 2017 were analyzed retrospectively. Results    Four patients underwent one-stage surgery through an abdominal approach，without death. The operative time was 185-420 (315.3±86.4) min. Extracorporeal circulation time was 22-175（71.8±60.4）min and blood loss was 600-3000(1475.0±941.7)mL. Acute renal failure occurred in one of the patients after operation，the rest had no surgical complications. After 8-26 months of follow-up，there was no sign of recurrence and metastasis. Conclusion    One-stage surgery of intracardiac leiomyomatosis through an abdominal approach is feasible. But， how to determine the indications of surgery remains to be further explored and studied.

Key words: intravenous leiomyomatosis, cardiac tumor, one-stage surgery, surgical strategy, abdominal approach

摘要：

目的    探讨经腹一期手术切除累及心脏的静脉内平滑肌瘤病的可行性。方法    回顾性分析2015年12月到2017年8月复旦大学附属中山医院收治的4例经腹部切口一期手术切除累及心脏的静脉内平滑肌瘤病病人的临床资料。结果    4例病人均一期完成经腹手术，无死亡病例。手术时间 185～420 (315.3±86.4)min，体外循环时间 22～175（71.8±60.4）min，出血量 600～3000（1475.0±941.7）mL。1例病人术后出现急性肾功能损伤，其余病人均无手术并发症。术后随访8~26个月，中位随访时间14个月，4例病人均无复发或转移。结论    经腹一期手术切除累及心脏的静脉内平滑肌瘤病安全可行，但如何正确把握手术适应证还有待进一步探索和研究。

关键词: 静脉内平滑肌瘤病, 心脏肿瘤, 一期手术, 手术策略, 经腹入路