Laparoscopic Surgical Treatment of Primary Retroperitoneal Tumor (Report of 12 Cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 阿合提別克·塔布斯 ¹ ,  楊孫虎 ^1,2 , 阿不都斯木·艾沙 ¹ , 馬博 ¹ , 任菲 ¹ , 孫存山 ¹

1. ;
2. ;

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Keywords：

原發性腹膜后腫瘤; 腹腔鏡; 治療

DOI：

10.7507/1007-9424.20140342

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目的探討原發性腹膜后腫瘤行腹腔鏡手術的安全性和療效。方法回顧性分析新疆醫科大學第二附屬醫院普外科2008年4月至2013年4月期間行腹腔鏡手術治療的12例原發性腹膜后腫瘤患者的臨床資料。結果 12例患者均行腹腔鏡手術，其中1例中轉開腹手術，其余行腹腔鏡手術成功。平均手術時間190 min，術中平均出血300 mL，術后平均8.5 d出院。術后左下肢深靜脈血栓形成1例，經保守治療好轉。圍手術期無死亡患者。術后病理類型：良性腫瘤5例，其中神經鞘瘤1例，脂肪瘤1例，腹膜后囊腫2例，畸胎瘤1例；惡性腫瘤7例，其中纖維肉瘤2例，平滑肌肉瘤1例，惡性淋巴瘤2例，脂肪肉瘤2例。良性腫瘤平均直徑8.1 cm，惡性腫瘤平均直徑5.6 cm。隨訪7例惡性腫瘤患者，平均隨訪時間13個月，無復發及轉移。結論通過本組有限的病例資料初步得出，原發性腹膜后腫瘤的診斷主要依靠影像學檢查。對于腫瘤直徑≤10 cm的良性腫瘤或直徑≤6 cm的惡性腫瘤且未侵犯主要血管者行腹腔鏡手術治療安全、可行。

Citation： 阿合提別克·塔布斯, 楊孫虎, 阿不都斯木·艾沙, 馬博, 任菲, 孫存山. Laparoscopic Surgical Treatment of Primary Retroperitoneal Tumor (Report of 12 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(11): 1439-1441. doi: 10.7507/1007-9424.20140342 Copy

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14.	牟一平, 高佳琦.腹膜后腫瘤的腹腔鏡治療[J/CD].中華疝和腹壁外科雜志:電子版, 2011, 5(1):29-30.

1. ?Wu JM, Montgomery E.Classification and pathology[J].Surg Clin North Am, 2008, 88(11):483-520.
2. Liles JS, Tzeng CW, Short JJ, et al.Retroperitoneal and intra-abdominal sarcoma[J].Curr Probl Surg, 2009, 46(6):445-503.
3. Wist E, Solheim OP, Jacobsen AB, et al.Primary retroperitoneal sarcomas.A review of 36 cases[J].Actc Radiol Oncol, 1985, 24(4):305-310.
4. 羅成華.原發性腹膜后腫瘤的診斷學[A]//陳凜.原發性腹膜后腫瘤[M].北京:科學技術文獻出版社, 2000:73-86.
5. 李澍, 冷希圣, 王茂春.原發性腹膜后腫瘤的診治策略[J].中國實用外科雜志, 2002, 22(8):460-462.
6. 陳春球, 尹路, 彭承宏, 等.原發性腹膜后腫瘤107例治療與預后分析[J].中國實用外科雜志, 2006, 26(11):850-851.
7. Chew C, Reid R, O'dwyer PJ.Value of biopsy in the assessment of a retroperitoneal mass[J].Surgeon, 2006, 4(2):79-81.
8. 李晉忠, 修典榮, 張桐林.從開腹到腹腔鏡原發性腹膜后腫瘤切除術成功要素分析[J].中國內鏡雜志, 2011, 17(7):741-744.
9. 張志鵬, 修典榮.原發性腹膜后腫瘤診治30例[J].首都醫科大學學報, 2011, 32(5):678-680.
10. Targarona EM, Moral A, Sabater L, et al.Laparoscopic resection of a retroperitoneal cystic lymphangioma[J].Surg Endosc, 1994, 8(12):1425-1426.
11. Cadeddu MO, Mamazza J, Schlachta CM, et al.Laparoscopic excision of retroperitoneal tumors:technique and review of the laparoscopic experience[J].Surg Laparosc Endosc Percutan Tech, 2001, 11(2):144-147.
12. Maezawa T, Narita M, Sano T, et al.A case of retroperitoneal schwannoma treated by laparoscopic resection[J].Hinyokika Kiyo, 2009, 55(3):129-131.
13. Chaudhary R, Deshmukh A, Singh K, et al.Laparoscopic resection of a large (11 cm) adrenal phaeochromocytoma[J].BMJ Case Rep, 2011, 2011:bcR₀820114575.
14. 牟一平, 高佳琦.腹膜后腫瘤的腹腔鏡治療[J/CD].中華疝和腹壁外科雜志:電子版, 2011, 5(1):29-30.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Laparoscopic Surgical Treatment of Primary Retroperitoneal Tumor (Report of 12 Cases)

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