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腹腔镜下切除腹膜后神经鞘瘤。

Laparoscopic resection of a retroperitoneal schwannoma.

作者信息

Nishio A, Adachi W, Igarashi J, Koide N, Kajikawa S, Amano J

机构信息

Second Department of Surgery, Shinshu University School of Medicine, Nagano, Japan.

出版信息

Surg Laparosc Endosc Percutan Tech. 1999 Aug;9(4):306-9.

Abstract

Although laparoscopic surgery for retroperitoneal diseases has been widely performed, there are few reports of laparoscopic resection for retroperitoneal tumors. We present the case of a 5-cm retroperitoneal tumor compressing the right common iliac vein and inferior vena cava that was successfully resected using a laparoscopic technique. Dissection between the tumor and the large vessels was performed safely using a harmonic scalpel and an ultrasonic surgical aspirator. Histopathology of the resected tumor showed a benign schwannoma. Laparoscopic surgical techniques should be considered for treatment of selected retroperitoneal tumors.

摘要

尽管腹腔镜手术已广泛应用于腹膜后疾病的治疗,但腹腔镜下切除腹膜后肿瘤的报道却很少。我们报告了一例5厘米的腹膜后肿瘤压迫右髂总静脉和下腔静脉的病例,该肿瘤通过腹腔镜技术成功切除。使用超声刀和超声手术吸引器安全地在肿瘤与大血管之间进行了分离。切除肿瘤的组织病理学检查显示为良性神经鞘瘤。对于某些选定的腹膜后肿瘤,应考虑采用腹腔镜手术技术进行治疗。

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