单孔腹腔镜诊治腹膜假性黏液瘤 2 例报道_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

王越市 ,  于宏（男） , 于宏（女） , 肖刚

中国医科大学附属盛京医院普通外科（沈阳 110004）;

Corresponding author：

于宏（男）, Email: yuhong1973@163.com

Keywords：

腹膜假性黏液瘤; 单孔腹腔镜; 诊断; 治疗

DOI：

10.7507/1007-9424.201703006

Video：

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Abstract Full text Figures/Tables Video References Cited by

目的探讨腹膜假性黏液瘤的诊断与治疗方法。方法对中国医科大学附属盛京医院2014 和2015 年收治的 2 例腹膜假性黏液瘤患者的临床资料进行回顾性分析。结果 2 例患者经其他检查均未明确诊断，后在单孔腹腔镜探查中明确诊断。手术切口长度为 2～3 cm，手术操作时间均约为 30 min，术中均无明显出血，术后均只使用非甾体类抗炎止痛药物 1 次。2 例患者均在术后 6 h 下床活动，24 h 内排气，48 h 内恢复至术前的生命体征平稳、饮食睡眠正常及可自主活动的状态。结论腹膜假性黏液瘤临床少见，组织来源不定，无特异性临床表现，常规检查诊断较为困难，单孔腹腔镜在腹膜假性黏液瘤的诊断与治疗中具有明显的优势。

Citation： 王越市, 于宏（男）, 于宏（女）, 肖刚. 单孔腹腔镜诊治腹膜假性黏液瘤 2 例报道. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(10): 1265-1268. doi: 10.7507/1007-9424.201703006 Copy

1.	Wertheim I, Fleischhacker D, McLachlin CM, et al. Pseudomyxoma peritonei: a review of 23 cases. Obstet Gynecol, 1994, 84(1): 17-21.
2.	黄玲, 郑星, 蒋伟. 腹膜假粘液瘤的临床诊治并文献复习. 中国美容医学, 2010, 19(1): 73.0.
3.	Ronnett BM, Yan H, Kurman RJ, et al. Patients with pseudomyxoma peritonei associated with disseminated peritoneal adenomucinosis have a significantly more favorable prognosis than patients with peritoneal mucinous carcinomatosis. Cancer, 2001, 92(1): 85-91.
4.	Ronnett BM, Shmookler BM, Diener-West M, et al. Immunohistochemical evidence supporting the appendiceal origin of pseudomyxoma peritonei in women. Int J Gynecol Pathol, 1997, 16(1): 1-9.
5.	Guerrieri C, Frånlund B, Boeryd B. Expression of cytokeratin 7 in simultaneous mucinous tumors of the ovary and appendix. Mod Pathol, 1995, 8(5): 573-576.
6.	Guerrieri C, Frånlund B, Fristedt S, et al. Mucinous tumors of the vermiform appendix and ovary, and pseudomyxoma peritonei: histogenetic implications of cytokeratin 7 expression. Hum Pathol, 1997, 28(9): 1039-1045.
7.	Prayson RA, Hart WR, Petras RE. Pseudomyxoma peritonei. A clinicopathologic study of 19 cases with emphasis on site of origin and nature of associated ovarian tumors. Am J Surg Pathol, 1994, 18(6): 591-603.
8.	赵吉平, 薛晨晖, 刘立恒. 腹膜假性粘液瘤的 CT 诊断. 中国现代医生, 2009, 47(16): 96-97.0.
9.	邱乾德, 许崇永, 相世峰. 腹膜假性黏液瘤 mr 诊断(附 17 例报告). 医学影像学杂志, 2008, 18(4): 380-383.0.
10.	谭国强, 吴标, 兰勇, 等. 腹膜假性粘液瘤的 CT 诊断与鉴别诊断. 中国 CT 和 MRI 杂志, 2007, 5(2): 37-39.0.
11.	Pfitzer P, Richartz G. Cytology of pseudomyxoma peritonei. Cytopathology, 1995, 6(5): 304-315.
12.	Miner TJ, Shia J, Jaques DP, et al. Long-term survival following treatment of pseudomyxoma peritonei: an analysis of surgical therapy. Ann Surg, 2005, 241(2): 300-308.
13.	周曾芬, 秦兴陆, 崔蓉. 疑难性腹部疾病诊断性腹腔镜下常见与罕见病变的特征. 罕少疾病杂志, 2001, 8(1): 1-3.0.
14.	Vargas C, Jeffers LJ, Bernstein D, et al. Diagnostic laparoscopy: a 5-year experience in a hepatology training program. Am J Gastroenterol, 1995, 90(8): 1258-1262.
15.	Salky B. Diagnostic laparoscopy. Surg Laparosc Endosc, 1993, 3(2): 132-134.
16.	Porcel A, Alcaín G, Moreno M, et al. Value of laparoscopy in ascites of undetermined origin. Rev Esp Enferm Dig, 1996, 88(7): 485-489.
17.	施素华, 张正荣, 李硕, 等. 腹膜假性粘液瘤 7 例的诊治体会. 皖南医学院学报, 2008, 27(3): 212-214.0.
18.	季勇, 毛勤生. 阑尾粘液囊肿、腹膜假性粘液瘤诊断与治疗—附 8 例报告. 临床急诊杂志,2001, 2(2): 92-93.0.
19.	Cioppa T, Vaira M, Bing C, et al. Cytoreduction and hyperthermic intraperitoneal chemotherapy in the treatment of peritoneal carcinomatosis from pseudomyxoma peritonei. World J Gastroenterol, 2008, 14(44): 6817-6823.
20.	Sugarbaker PH. Cytoreductive surgery and peri-operative intraperitoneal chemotherapy as a curative approach to pseudomyxoma peritonei syndrome. Eur J Surg Oncol, 2001, 27(3): 239-243.
21.	Bryant J, Clegg AJ, Sidhu MK, et al. Systematic review of the Sugarbaker procedure for pseudomyxoma peritonei. Br J Surg, 2005, 92(2): 153-158.

1. Wertheim I, Fleischhacker D, McLachlin CM, et al. Pseudomyxoma peritonei: a review of 23 cases. Obstet Gynecol, 1994, 84(1): 17-21.
2. 黄玲, 郑星, 蒋伟. 腹膜假粘液瘤的临床诊治并文献复习. 中国美容医学, 2010, 19(1): 73.0.
3. Ronnett BM, Yan H, Kurman RJ, et al. Patients with pseudomyxoma peritonei associated with disseminated peritoneal adenomucinosis have a significantly more favorable prognosis than patients with peritoneal mucinous carcinomatosis. Cancer, 2001, 92(1): 85-91.
4. Ronnett BM, Shmookler BM, Diener-West M, et al. Immunohistochemical evidence supporting the appendiceal origin of pseudomyxoma peritonei in women. Int J Gynecol Pathol, 1997, 16(1): 1-9.
5. Guerrieri C, Frånlund B, Boeryd B. Expression of cytokeratin 7 in simultaneous mucinous tumors of the ovary and appendix. Mod Pathol, 1995, 8(5): 573-576.
6. Guerrieri C, Frånlund B, Fristedt S, et al. Mucinous tumors of the vermiform appendix and ovary, and pseudomyxoma peritonei: histogenetic implications of cytokeratin 7 expression. Hum Pathol, 1997, 28(9): 1039-1045.
7. Prayson RA, Hart WR, Petras RE. Pseudomyxoma peritonei. A clinicopathologic study of 19 cases with emphasis on site of origin and nature of associated ovarian tumors. Am J Surg Pathol, 1994, 18(6): 591-603.
8. 赵吉平, 薛晨晖, 刘立恒. 腹膜假性粘液瘤的 CT 诊断. 中国现代医生, 2009, 47(16): 96-97.0.
9. 邱乾德, 许崇永, 相世峰. 腹膜假性黏液瘤 mr 诊断(附 17 例报告). 医学影像学杂志, 2008, 18(4): 380-383.0.
10. 谭国强, 吴标, 兰勇, 等. 腹膜假性粘液瘤的 CT 诊断与鉴别诊断. 中国 CT 和 MRI 杂志, 2007, 5(2): 37-39.0.
11. Pfitzer P, Richartz G. Cytology of pseudomyxoma peritonei. Cytopathology, 1995, 6(5): 304-315.
12. Miner TJ, Shia J, Jaques DP, et al. Long-term survival following treatment of pseudomyxoma peritonei: an analysis of surgical therapy. Ann Surg, 2005, 241(2): 300-308.
13. 周曾芬, 秦兴陆, 崔蓉. 疑难性腹部疾病诊断性腹腔镜下常见与罕见病变的特征. 罕少疾病杂志, 2001, 8(1): 1-3.0.
14. Vargas C, Jeffers LJ, Bernstein D, et al. Diagnostic laparoscopy: a 5-year experience in a hepatology training program. Am J Gastroenterol, 1995, 90(8): 1258-1262.
15. Salky B. Diagnostic laparoscopy. Surg Laparosc Endosc, 1993, 3(2): 132-134.
16. Porcel A, Alcaín G, Moreno M, et al. Value of laparoscopy in ascites of undetermined origin. Rev Esp Enferm Dig, 1996, 88(7): 485-489.
17. 施素华, 张正荣, 李硕, 等. 腹膜假性粘液瘤 7 例的诊治体会. 皖南医学院学报, 2008, 27(3): 212-214.0.
18. 季勇, 毛勤生. 阑尾粘液囊肿、腹膜假性粘液瘤诊断与治疗—附 8 例报告. 临床急诊杂志,2001, 2(2): 92-93.0.
19. Cioppa T, Vaira M, Bing C, et al. Cytoreduction and hyperthermic intraperitoneal chemotherapy in the treatment of peritoneal carcinomatosis from pseudomyxoma peritonei. World J Gastroenterol, 2008, 14(44): 6817-6823.
20. Sugarbaker PH. Cytoreductive surgery and peri-operative intraperitoneal chemotherapy as a curative approach to pseudomyxoma peritonei syndrome. Eur J Surg Oncol, 2001, 27(3): 239-243.
21. Bryant J, Clegg AJ, Sidhu MK, et al. Systematic review of the Sugarbaker procedure for pseudomyxoma peritonei. Br J Surg, 2005, 92(2): 153-158.

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单孔腹腔镜诊治腹膜假性黏液瘤 2 例报道

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