Yano Hiroshi, Imasato Mitsunobu, Monden Takushi, Okamoto Shigeru
Department of Surgery, NTT West Osaka Hospital, Japan.
Surg Laparosc Endosc Percutan Tech. 2003 Aug;13(4):286-9. doi: 10.1097/00129689-200308000-00014.
We report 2 cases of splenic vascular tumors that were successfully treated by hand-assisted laparoscopic splenectomy. Two patients, a 41-year-old woman and a 33-year-old man, were admitted to our department for investigation of a splenic tumor. After ultrasonography, computed tomography, and magnetic resonance imaging, we suspected that the masses were hemangioma or inflammatory pseudotumor in the spleen. However, we preoperatively could not rule out the possibility of a malignant neoplasm because they each had previously undergone surgical treatment, one for cervical cancer of the uterus and the other for testicular seminoma. Hand-assisted laparoscopic splenectomy was safely performed for the diagnosis and treatment of the splenic tumors. A histologic diagnosis was venous hemangioma and littoral cell angioma, respectively. Hand-assisted laparoscopic splenectomy may be a good indication for splenic vascular tumors that are difficult to diagnose preoperatively whether they are malignant or benign.
我们报告2例脾血管肿瘤患者，通过手辅助腹腔镜脾切除术成功治愈。两名患者，一名41岁女性和一名33岁男性，因脾脏肿瘤入我院接受检查。经超声、计算机断层扫描和磁共振成像检查后，我们怀疑肿块为脾脏血管瘤或炎性假瘤。然而，由于他们各自既往曾接受手术治疗，一名为子宫颈癌，另一名为睾丸精原细胞瘤，因此我们术前无法排除恶性肿瘤的可能性。为诊断和治疗脾脏肿瘤，安全实施了手辅助腹腔镜脾切除术。组织学诊断分别为静脉性血管瘤和边缘细胞血管瘤。对于术前难以诊断其良恶性的脾血管肿瘤，手辅助腹腔镜脾切除术可能是一种较好的治疗方法。
