Liu Kun, Zhang Minghui, Liang Xiao, Cai Xiujun
Department of Hepatobiliary Surgery, Ocean University of China, Qingdao 266071, China.
J Res Med Sci. 2013 Jun;18(6):522-5.
Diaphragmatic neurilemmoma (schwannoma) is an extremely rare tumor that is often discovered incidentally. Even when diagnosed, patients are commonly advised only to attend regular follow-up appointments as conventional tumorectomy is enormously invasive and confers relatively few benefits. Here, we report a unique case of a diaphragmatic neurilemmoma with concomitant symptomatic cholecystolithiasis, who was treated successfully by pure laparoscopy. The entire operation lasted 65 min, and patient was discharged uneventfully on the 3(rd) post-operative day. The follow-up for 29 months has shown with no recurrence or symptoms.
膈肌神经鞘瘤是一种极其罕见的肿瘤，通常是偶然发现的。即使被诊断出来，由于传统的肿瘤切除术具有极大的侵入性且益处相对较少，患者通常仅被建议定期进行随访。在此，我们报告一例独特的伴有症状性胆囊结石的膈肌神经鞘瘤病例，该病例通过单纯腹腔镜手术成功治愈。整个手术持续了65分钟，患者在术后第3天顺利出院。29个月的随访显示无复发或症状。
