Uchida Hiroki, Ohta Masayuki, Shibata Kohei, Endo Yuichi, Iwaki Kentaro, Tominaga Masayuki, Ishio Tetsuya, Kitano Seigo
Department of Surgery I, Oita University Faculty of Medicine, Oita, Japan.
Surg Laparosc Endosc Percutan Tech. 2006 Jun;16(3):182-6. doi: 10.1097/00129689-200606000-00015.
We report 2 cases of splenic inflammatory pseudotumor treated by laparoscopic splenectomy. The first patient was a 58-year-old woman who complained of constipation. Computed tomography (CT) showed a well-demarcated mass that measured 4 cm in diameter and was not enhanced. She underwent laparoscopic splenectomy under a preoperative diagnosis of hemangioma. The final histopathologic diagnosis was inflammatory pseudotumor. The second patient was a 29-year-old man who complained of abdominal pain. Computed tomography revealed a demarcated splenic tumor that measured 3 cm in diameter and was not enhanced. Laparoscopic splenectomy was performed. The pathologic and operative diagnoses were both inflammatory pseudotumor. In both cases, the postoperative course was uneventful, and the postoperative hospital stays were 10 and 11 days. Preoperative diagnosis of a splenic inflammatory pseudotumor is very difficult. However, laparoscopic splenectomy is safe and beneficial treatment for this tumor and should be performed in cases in which it is diagnosed.
我们报告2例经腹腔镜脾切除术治疗的脾脏炎性假瘤。首例患者为一名58岁女性，主诉便秘。计算机断层扫描（CT）显示一个边界清晰的肿块，直径4厘米，无强化。她在术前诊断为血管瘤的情况下接受了腹腔镜脾切除术。最终组织病理学诊断为炎性假瘤。第二例患者是一名29岁男性，主诉腹痛。CT显示一个边界清晰的脾脏肿瘤，直径3厘米，无强化。实施了腹腔镜脾切除术。病理诊断和手术诊断均为炎性假瘤。两例患者术后病程均顺利，术后住院时间分别为10天和11天。脾脏炎性假瘤的术前诊断非常困难。然而，腹腔镜脾切除术对于这种肿瘤是一种安全且有益的治疗方法，在确诊的病例中应予以实施。
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