Bax N M, van der Zee D C
Department of Pediatric Surgery, University Children's Hospital "Wilhelmina," P.O. Box 18009, 3501 CA Utrecht, The Netherlands.
Surg Endosc. 1998 Jun;12(6):882-3. doi: 10.1007/s004649900735.
Huge sacrococcygeal teratomas in the newborn can cause significant morbidity and even death due to cardiac failure, hemorrhage, or both. Surgical removal is the treatment of choice, but can indicate these events. Ligation of the median sacral artery, which always supplies the tumor, prior to its removal has been advocated, but in the past this procedure required a formal laparotomy. Nowadays, it can be easily accomplished laparoscopically, as this case report demonstrates.
新生儿巨大骶尾部畸胎瘤可因心力衰竭、出血或两者兼而有之而导致严重发病甚至死亡。手术切除是首选治疗方法，但可能引发这些情况。有人主张在切除肿瘤前结扎始终为其供血的骶中动脉，不过过去这种操作需要进行正规的剖腹手术。如今，正如本病例报告所示，可通过腹腔镜轻松完成。
