腹腔镜辅助手术治疗经腹股沟内环延伸至腹膜后腔的精索脂肪肉瘤。
Laparoscopic-assisted surgery for liposarcoma of the spermatic cord extending to the retroperitoneal cavity through the internal inguinal ring.
作者信息
Ochi Atsuhiko, Toki Sari, Vanichakarn Dollacha, Suzuki Koichiro, Kitagawa Yasuhide, Abe Hirokazu
机构信息
Department of Urology Kameda Medical Center Kamogawa Chiba Japan.
Department of Urology Komatsu Municipal Hospital Komatsu Ishikawa Japan.
出版信息
IJU Case Rep. 2019 May 29;2(5):253-256. doi: 10.1002/iju5.12084. eCollection 2019 Sep.
INTRODUCTION
Liposarcoma of the spermatic cord is a rare disease, reportedly treated with radical high orchiectomy. However, laparoscopic-assisted surgery for spermatic cord liposarcoma extending to the retroperitoneal cavity through the internal inguinal ring has not yet been reported.
CASE PRESENTATION
A 78-year-old man had a spermatic cord tumor that extended to the retroperitoneal cavity through the internal inguinal ring and invaded the abdominal wall muscles. We performed laparoscopic-assisted surgery and successfully separated the tumor from the contiguous organs and vessels. The tumor was resected en bloc with abdominal wall muscles, and a muscular defect was repaired with a left tensor fascia lata muscle flap. Pathological analysis revealed a well-differentiated liposarcoma with negative surgical margins. There was no recurrence at 1 year post-surgery.
CONCLUSION
Laparoscopic-assisted surgery is a feasible and minimally invasive procedure for treating liposarcoma of the spermatic cord extending to the retroperitoneal cavity through the internal inguinal ring.
引言
精索脂肪肉瘤是一种罕见疾病，据报道采用根治性高位睾丸切除术治疗。然而，尚未有通过内环延伸至腹膜后腔的精索脂肪肉瘤的腹腔镜辅助手术的相关报道。
病例介绍
一名78岁男性患有精索肿瘤，该肿瘤通过内环延伸至腹膜后腔并侵犯腹壁肌肉。我们实施了腹腔镜辅助手术，成功地将肿瘤与相邻器官和血管分离。肿瘤与腹壁肌肉整块切除，并用左阔筋膜张肌肌瓣修复肌肉缺损。病理分析显示为高分化脂肪肉瘤，手术切缘阴性。术后1年无复发。
结论
腹腔镜辅助手术是治疗通过内环延伸至腹膜后腔的精索脂肪肉瘤的一种可行且微创的手术方法。
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