Sharpe L A, Van Oppen D J
Department of Obstetrics and Gynecology, University of Minnesota, Minneapolis, Minnesota, USA.
J Am Assoc Gynecol Laparosc. 1995 Feb;2(2):223-6. doi: 10.1016/s1074-3804(05)80023-4.
Retroperitoneal tumors are rare, often malignant, and difficult to diagnose. Surgical removal is associated with significant morbidity and mortality. We believe this to be the first report of laparoscopic removal of a benign pelvic retroperitoneal dermoid cyst from the right pararectal and presacral areas. Iatrogenic enterocele was prevented by laparoscopic suturing and knot tying to perform a modified McCall culdoplasty. The excellent outcome of this case suggests that laparoscopic management should be considered for carefully selected benign retroperitoneal tumors.
腹膜后肿瘤较为罕见，通常为恶性，且难以诊断。手术切除会带来较高的发病率和死亡率。我们认为这是首例关于经腹腔镜从直肠右侧和骶前区域切除盆腔腹膜后良性皮样囊肿的报告。通过腹腔镜缝合和打结以实施改良麦考尔直肠子宫陷凹成形术，预防了医源性肠膨出。该病例的良好结果表明，对于精心挑选的良性腹膜后肿瘤，应考虑采用腹腔镜治疗。
