Chen J S, Lee W J, Chang Y J, Wu M Z, Chiu K M
Department of Surgery, National Taiwan University Hospital, Hsien, ROC.
Surg Today. 1998;28(3):343-5. doi: 10.1007/s005950050137.
Primary retroperitoneal mucinous cystic tumors are extremely rare, and although their histogenesis is still uncertain, several theories have been proposed. Traditionally, transabdominal laparotomy and enucleation of the cyst is the treatment of choice and laparoscopic resection has not previously been reported. This paper presents the case of a 48-year-old woman in whom a primary retroperitoneal cystic mass, 15 x 13 x 9 cm in size, was successfully resected through the laparoscope. Pathological examination revealed a mucinous cystadenoma with borderline malignancy. The patient had a prompt recovery and there was no evidence of recurrence at her 8-month follow-up. However, the prevention of cystic fluid spillage during laparoscopic manipulation is important, especially when the pathology of the retroperitoneal cyst is unclear.
原发性腹膜后黏液性囊性肿瘤极为罕见，尽管其组织发生仍不确定，但已提出了几种理论。传统上，经腹剖腹手术及囊肿摘除术是首选治疗方法，此前尚无腹腔镜切除术的报道。本文介绍了一例48岁女性患者，其原发性腹膜后囊性肿块大小为15×13×9 cm，通过腹腔镜成功切除。病理检查显示为交界性恶性黏液性囊腺瘤。患者恢复迅速，8个月随访时无复发迹象。然而，在腹腔镜操作过程中防止囊液外溢很重要，尤其是当腹膜后囊肿的病理情况不明时。
