Oue Takaharu, Yoneda Akihiro, Sasaki Takashi, Tani Gakuto, Fukuzawa Masahiro
Department of Surgery, Division of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
J Laparoendosc Adv Surg Tech A. 2008 Oct;18(5):779-82. doi: 10.1089/lap.2007.0114.
An 11-year-old girl presented with a homogeneous right retroperitoneal tumor 5 cm in diameter. Nonfunctioning benign neurogenic tumor was suspected, and a laparoscopic resection was performed. The inferior vena cava ran just behind the tumor, and there were small vessels between the tumor and inferior vena cava. To create a space behind the tumor, we suspended the tumor by using a traction suture, and to obtain adequate hemostasis, we used a vessel-sealing device. The tumor was safely removed and the pathological diagnosis was benign ganglioneuroma. The postoperative recovery was uneventful, and the patient left her bed and started a regular diet on the postoperative day 1. Laparoscopic surgery is a safe, feasible method for the diagnosis and treatment of benign retroperitoneal tumors, such as ganglioneuroma.
一名11岁女孩出现一个直径5厘米的右侧腹膜后均匀性肿瘤。怀疑为无功能良性神经源性肿瘤，遂行腹腔镜切除术。下腔静脉恰好在肿瘤后方走行，肿瘤与下腔静脉之间有小血管。为在肿瘤后方创造空间，我们用牵引缝线悬吊肿瘤，为实现充分止血，我们使用了血管闭合装置。肿瘤被安全切除，病理诊断为良性神经节细胞瘤。术后恢复顺利，患者于术后第1天离床并开始正常饮食。腹腔镜手术是诊断和治疗良性腹膜后肿瘤如神经节细胞瘤的一种安全、可行的方法。
