Sebastian Maciej, Sroczyński Maciej, Donizy Piotr, Rudnicki Jerzy
Department of Minimally Invasive Surgery and Proctology, Wroclaw Medical University, Wroclaw, Poland.
Department of Pathomorphology and Oncological Cytology, Wroclaw Medical University, Wroclaw, Poland.
Wideochir Inne Tech Maloinwazyjne. 2017 Sep;12(3):301-305. doi: 10.5114/wiitm.2017.68795. Epub 2017 Jul 3.
Schwannomas are usually benign tumors attached to peripheral nerves and are rarely found in the gastrointestinal tract. Schwannomas in the porta hepatis are extremely rare, with only 15 cases described in the literature to date. A 22-year-old female patient presented with colicky upper abdominal pain lasting 3 months. Magnetic resonance imaging of the abdominal cavity revealed a tumor in the porta hepatis. The patient was qualified for laparoscopy. The tumor was totally excised laparoscopically under guidance of laparoscopic ultrasound without intra- or postoperative complications. Postoperative histopathological examination confirmed the porta hepatic schwannoma. The patient recovered uneventfully with very good cosmetic results. In the follow-up period of 5 months we have not observed any abdominal or general health problems. The present case is the first report in the world of laparoscopic ultrasound guided laparoscopic excision of a porta hepatic schwannoma.
施万细胞瘤通常是附着于周围神经的良性肿瘤，很少见于胃肠道。肝门部施万细胞瘤极为罕见，迄今为止文献中仅描述了15例。一名22岁女性患者出现持续3个月的上腹部绞痛。腹腔磁共振成像显示肝门部有一个肿瘤。该患者符合腹腔镜检查条件。在腹腔镜超声引导下，通过腹腔镜将肿瘤完全切除，术中及术后均无并发症。术后组织病理学检查证实为肝门部施万细胞瘤。患者恢复顺利，美容效果良好。在5个月的随访期内，我们未观察到任何腹部或全身健康问题。本病例是世界上首例关于腹腔镜超声引导下腹腔镜切除肝门部施万细胞瘤的报告。
