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腹腔镜联合后路入路切除巨大骶尾部囊性畸胎瘤

Combined laparoscopic and posterior approach resection of large sacrococcygeal cystic teratoma.

作者信息

Alyousef Ziyad, Aleissa Maryam, Alaamer Ohood, Alselaim Nahar

机构信息

College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Department of Surgery, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

出版信息

Surg Case Rep. 2021 Jan 13;7(1):20. doi: 10.1186/s40792-020-01104-4.

DOI:10.1186/s40792-020-01104-4
PMID:33438088
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7803854/
Abstract

BACKGROUND

Teratoma is a true neoplasm and originates from the three germ cell layers and it can contain any tissue derived from these layers. The location of teratoma is variable according to the age group. In adults, sacrococcygeal teratoma is rare and carries a low risk of malignant transformation. Surgical resection is the mainstay of treatment and is challenging due to tumor location.

CASE PRESENTATION

We are presenting a case report of a 16-year old female referred to our hospital with recurrent attacks of urine retention. Imaging study showed a large sacrococcygeal tumor. It was successfully resected by a combined laparoscopic and posterior approach without any major complication.

CONCLUSION

The combined laparoscopic and posterior approach is a safe surgical technique for resection of the large sacrococcygeal tumor. This surgical method has been published around 10 times in separated reports around the world and for first time in our region.

摘要

背景

畸胎瘤是一种真正的肿瘤，起源于三个胚层，可包含源自这些胚层的任何组织。畸胎瘤的位置根据年龄组而有所不同。在成年人中，骶尾部畸胎瘤罕见，恶性转化风险低。手术切除是主要治疗方法，但由于肿瘤位置，手术具有挑战性。

病例报告

我们报告一例16岁女性病例，该患者因反复出现尿潴留而转诊至我院。影像学检查显示巨大骶尾部肿瘤。通过腹腔镜联合后路手术成功切除肿瘤，未出现任何严重并发症。

结论

腹腔镜联合后路手术是切除巨大骶尾部肿瘤的一种安全手术技术。这种手术方法在世界各地的单独报告中已发表约10次，在我们地区尚属首次。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/7803854/ba1334ecc509/40792_2020_1104_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/7803854/d895e349385c/40792_2020_1104_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/7803854/64af8ac1819f/40792_2020_1104_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/7803854/84b75ae7f590/40792_2020_1104_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/7803854/5bbb94fd9a18/40792_2020_1104_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/7803854/ba1334ecc509/40792_2020_1104_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/7803854/d895e349385c/40792_2020_1104_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/7803854/64af8ac1819f/40792_2020_1104_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/7803854/84b75ae7f590/40792_2020_1104_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/7803854/5bbb94fd9a18/40792_2020_1104_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/7803854/ba1334ecc509/40792_2020_1104_Fig5_HTML.jpg

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