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

Authors：

 阿合提别克·塔布斯 ¹ ,  杨孙虎 ^1,2 , 阿不都斯木·艾沙 ¹ , 马博 ¹ , 任菲 ¹ , 孙存山 ¹

1. ;
2. ;

Corresponding author：

Keywords：

原发性腹膜后肿瘤; 腹腔镜; 治疗

DOI：

10.7507/1007-9424.20140342

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目的探讨原发性腹膜后肿瘤行腹腔镜手术的安全性和疗效。方法回顾性分析新疆医科大学第二附属医院普外科2008年4月至2013年4月期间行腹腔镜手术治疗的12例原发性腹膜后肿瘤患者的临床资料。结果 12例患者均行腹腔镜手术，其中1例中转开腹手术，其余行腹腔镜手术成功。平均手术时间190 min，术中平均出血300 mL，术后平均8.5 d出院。术后左下肢深静脉血栓形成1例，经保守治疗好转。围手术期无死亡患者。术后病理类型：良性肿瘤5例，其中神经鞘瘤1例，脂肪瘤1例，腹膜后囊肿2例，畸胎瘤1例；恶性肿瘤7例，其中纤维肉瘤2例，平滑肌肉瘤1例，恶性淋巴瘤2例，脂肪肉瘤2例。良性肿瘤平均直径8.1 cm，恶性肿瘤平均直径5.6 cm。随访7例恶性肿瘤患者，平均随访时间13个月，无复发及转移。结论通过本组有限的病例资料初步得出，原发性腹膜后肿瘤的诊断主要依靠影像学检查。对于肿瘤直径≤10 cm的良性肿瘤或直径≤6 cm的恶性肿瘤且未侵犯主要血管者行腹腔镜手术治疗安全、可行。

Citation： 阿合提别克·塔布斯, 杨孙虎, 阿不都斯木·艾沙, 马博, 任菲, 孙存山. 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.腹膜后肿瘤的腹腔镜治疗[J/CD].中华疝和腹壁外科杂志:电子版, 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. 罗成华.原发性腹膜后肿瘤的诊断学[A]//陈凛.原发性腹膜后肿瘤[M].北京:科学技术文献出版社, 2000:73-86.
5. 李澍, 冷希圣, 王茂春.原发性腹膜后肿瘤的诊治策略[J].中国实用外科杂志, 2002, 22(8):460-462.
6. 陈春球, 尹路, 彭承宏, 等.原发性腹膜后肿瘤107例治疗与预后分析[J].中国实用外科杂志, 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. 李晋忠, 修典荣, 张桐林.从开腹到腹腔镜原发性腹膜后肿瘤切除术成功要素分析[J].中国内镜杂志, 2011, 17(7):741-744.
9. 张志鹏, 修典荣.原发性腹膜后肿瘤诊治30例[J].首都医科大学学报, 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.腹膜后肿瘤的腹腔镜治疗[J/CD].中华疝和腹壁外科杂志:电子版, 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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