Nomura Ryohei, Tokumura Hiromi, Matsumura Naoki
Department of Surgery, Tohoku Rosai Hospital, Sendai, Japan.
Int Surg. 2013 Jul-Sep;98(3):219-22. doi: 10.9738/INTSURG-D-13-00076.1.
Here, we describe a case of a retroperitoneal liposarcoma successfully managed by laparoscopic surgery. A 72-year-old man underwent abnormal hypertension screening using computed tomography (CT), which revealed a low-density mass measuring 7 cm in diameter in the retroperitoneal space. We diagnosed the mass as a liposarcoma before the operation. The mass was resected laparoscopically. No perioperative complications were encountered, and the patient was discharged on the fourth postoperative day. The pathologic diagnosis was well-differentiated liposarcoma, indicating complete surgical resection. Thus, we conclude that a laparoscopic approach for the patients with retroperitoneal tumors, including liposarcomas, is safe, feasible, and minimally invasive, even if there is a possibility of the tumor being malignant.
在此，我们描述一例通过腹腔镜手术成功治疗的腹膜后脂肪肉瘤病例。一名72岁男性接受计算机断层扫描（CT）进行异常高血压筛查，结果显示腹膜后间隙有一个直径7厘米的低密度肿块。术前我们将该肿块诊断为脂肪肉瘤。通过腹腔镜切除了该肿块。未发生围手术期并发症，患者术后第四天出院。病理诊断为高分化脂肪肉瘤，表明手术切除彻底。因此，我们得出结论，对于包括脂肪肉瘤在内的腹膜后肿瘤患者，即使肿瘤有可能是恶性的，腹腔镜手术方法也是安全、可行且微创的。
