后腹腔镜下对神经母细胞瘤残留病灶行肾上腺切除术。

Retroperitoneoscopic adrenalectomy in a residual of neuroblastoma.

作者信息

Lima M, Dòmini M, Ruggeri G, Bertozzi M, Lauro V, Libri M, Gentili A, Pelusi G, Messina P

机构信息

Istituto di Clinica Chirurgica Pediatrica, Università Policlinico S. Orsola, Bologna, Italia.

出版信息

Pediatr Med Chir. 2002 May-Jun;24(3):234-6.

PMID:12236041

Abstract

The authors report a case of retroperitoneoscopic adrenalectomy in a child with neuroblastoma previously treated by chemotherapy. Usually the presence of malignant tumours is a contraindication to retroperitoneoscopic surgery. A restaging of the tumor was done by retroperitoneoscopy. The residual adrenal gland was excised by mini-invasive surgery of the retroperitoneal space. The histopathologic examination confirmed the presence of a residual neuroblastoma in the adrenal gland. This case report shows a possible of a new indication for the retroperitoneoscopy.

摘要

作者报告了一例先前接受化疗的神经母细胞瘤患儿行后腹腔镜肾上腺切除术的病例。通常，存在恶性肿瘤是后腹腔镜手术的禁忌证。通过后腹腔镜对肿瘤进行了再次分期。通过腹膜后间隙微创手术切除了残留的肾上腺。组织病理学检查证实肾上腺中存在残留的神经母细胞瘤。本病例报告显示了后腹腔镜检查一种可能的新适应证。