3D腹腔镜切除复杂盆腔巨大原发肿瘤3例临床分析

樊东东; 靳松; 牛亦农; 邢念增

doi:10.13201/j.issn.1001-1420.2015.05.005

3D腹腔镜切除复杂盆腔巨大原发肿瘤3例临床分析

- 首都医科大学附属北京朝阳医院泌尿外科(北京, 100020)

详细信息

通讯作者: 牛亦农,E-mail:18601020160@163.com

中图分类号: R572

收稿日期: 2015-01-10

Clinical analysis of 3D laparoscopy for excision of three cases of complex and giant extra-organic primary pelvic tumor

- Department of Urology, Affiliated Beijing Chaoyang Hospital of Capital Medical University, Beijing, 100020, China

More Information

Corresponding author: NIU Yinong, E-mail: 18601020160@163.com

Received Date: 10 January 2015

摘要

摘要: 目的：报告3例复杂性盆腔巨大原发非脏器来源肿瘤盆腔原发肿瘤的临床特点以及3D腹腔镜切除手术的方法，分析手术的可行性、安全性及3D腹腔镜的优势。方法：手术均采用3D腹腔镜技术经腹腔入路进行肿瘤切除。进入腹腔后明确肿瘤与邻近周围器官关系及界限，用ligasure和超声刀充分游离肿物，肿瘤较大而盆腔操作空间有限，游离肿瘤期间注意保护乙状结结肠、直肠和膀胱等周围邻近器官。结果：3例手术均获得成功，手术时间分别为225 min、58 min、50 min，术中出血量分别为300 ml、200 ml、50 ml，术后住院时间分别为7、7、8 d，3例均无围手术期并发症。术后随访，2例良性肿瘤均无复发；1例恶性间皮瘤术后维持化疗，无复发。结论：3D腹腔镜下切除盆腔巨大原发肿瘤是安全可行的，具有创伤小、出血少、术后恢复较快等优点。
- 3D腹腔镜 /
- 盆腔肿瘤
Abstract: Objective: To describe the clinical features and surgical procedure of 3D laparoscopic instruments for three cases of complex giant extra-organic primary pelvic tumor, and analyze the feasibility, safety and advantages of this surgical procedure.Method: The tumors were resected by 3D laparoscopic techniques through intraperitoneal approach. After entering the abdominal cavity, the mass was fully dissected along the boundaries between the tumor and surrounding organs with Ligasure and ultrasonic scalpel. The sigmoid colon, rectum, bladder and seminal vesicles should be carefully protected during the procedure because of the large size tumor and limited operating space.Result: All three cases were performed successfully. Operative time was 225, 58, 50 min and blood loss was 300, 200, 50 ml respectively. Postoperative hospital stay was 7, 7, 8 days respectively and no perioperative complications were observed. Two cases of benign spindle cell tumors and one case of malignant mesothelioma after postoperative chemotherapy were followed up without recurrence.Conclusion: It is feasible and safe to remove complex giant extra-organic primary pelvic tumor using 3D laparoscopy because of its advantages of little trauma, little blood loss and quick recovery.
- 3Dlaparoscopy /
- pelvic tumor

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