摘要
目的探讨骶尾部畸胎瘤腹腔镜下手术的可行性、手术技巧和临床疗效。方法 2002年7月至2009年9月对西南医院收治住院的骶尾部畸胎瘤患者26例行腹腔镜下手术,肿瘤最小4cm×4cm×3cm,最大13cm×12cm×10cm,肿瘤下缘距肛门1～6cm。结果所有病例均在腹腔镜下完成手术,平均手术时间98min(45～160min),术中平均出血180ml(140～330ml),术中有2例发生直肠损伤,无其他并发症发生。术后平均肛门排气时间1.2d(1～2d),术后平均住院时间3.9d(3～6d),有1例术后出现肠瘘。术后有21例接受随访,随访时间为2～48个月,未发现复发病例。结论对骶尾部畸胎瘤施行腹腔镜下切除术安全、可靠,切除彻底,并发症少,术后恢复快,是骶尾部畸胎瘤有效手术方法之一。
Objective To study the feasibility,technique skills and clinical outcome of laparoscopic sacrococcygeal teratoma resection. Methods Laparoscopic resection of sacrococcygeal teratoma was performed in 26 patients admitted to our hospital from July 2002 to September 2009. The smallest and largest tumor was 4 cm × 4 cm × 3 cm and 13 cm × 12 cm × 10 cm in size,respectively,with their low margin 1 cm to 6 cm away from the anus. Results All the procedures were completed under laparoscope with an average operation time of 98 min （ 45 -160 min） and an average blood loss of 180 ml （ 140 -330 ml）. No complication occurred during the operation,except for rectum injury in 2 patients,which was repaired under laparoscope. Gastrointestinal tract began to move in 1 -2 d （ 1. 2 d） after surgery. The average postoperative hospital stay was 3. 9 d （ 3 -6 d）. Intestinal fistula occurred in 1 patient and was repaired. Seventeen patients were followed up for 2 -51 months,during which no recurrence was found. Conclusion laparoscopic resection of sacrococcygeal teratoma is a safe,reliable,effective and radical procedure characterized by few complications and rapid recovery.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2010年第11期1220-1222,共3页
Journal of Third Military Medical University
关键词
骶尾部畸胎瘤
腹腔镜
laparoscopy
sacrococcygeal teratoma
