Kang Chang Moo, Kim Dong Hyun, Seok Jae Yeon, Lee Woo Jung
Department of Surgery, Yonsei University College of Medicine, Seodaemun-gu, Seoul, Korea.
J Laparoendosc Adv Surg Tech A. 2008 Jun;18(3):411-6. doi: 10.1089/lap.2007.0098.
Schwannomas are particularly rare neoplasms among tumors of the retroperitoneal space. Only 0.3-3.2% of benign schwannomas are found in retroperitoneal locations. As these tumors are usually asymptomatic and discovered by chance or in the course of the evaluation of an unrelated health problem, they may cause the delay of early diagnosis and treatment. With recent advances in the field of minimally invasive surgery, several laparoscopic approaches to retroperitoneal schwannomas have been reported. In this paper, we present the case of a 59-year-old female patient with an asymptomatic retroperitoneal mass that was found during a regular medical checkup. The mass was located between the inferior vena cava (IVC) and aorta under the pancreaticoduodenal unit (site of lymph node 16b1), compressing the IVC. She underwent successful laparoscopic surgery for retroperitoneal schwannoma. In addition, we summarized the literature on cases regarding the laparoscopic management of the retroperitoneal schwannoma.
在腹膜后间隙肿瘤中，施万瘤是极为罕见的肿瘤。仅0.3%-3.2%的良性施万瘤位于腹膜后。由于这些肿瘤通常无症状，多偶然发现或在评估无关健康问题过程中被发现，可能导致早期诊断和治疗延迟。随着微创外科领域的最新进展，已有数种腹腔镜治疗腹膜后施万瘤的方法被报道。本文介绍了一例59岁女性患者，其在常规体检中发现无症状的腹膜后肿块。该肿块位于胰十二指肠下组（第16b1组淋巴结部位）的下腔静脉和主动脉之间，压迫下腔静脉。她接受了成功的腹腔镜下腹膜后施万瘤手术。此外，我们总结了关于腹腔镜治疗腹膜后施万瘤病例的文献。
