腹腔镜技术诊治小儿腹部实体肿瘤12例报告

目的探讨腹腔镜手术诊治小儿腹部实体肿瘤的价值. 方法 1999年8月～2004年4月,12例腹部实体肿瘤患儿(平均年龄6岁2个月)B超、CT、MRI和IVP等影像学检查,骨髓穿刺细胞学检查和24小时尿VMA、NSE、血AFP等肿瘤标记物检测均未能明确诊断,均接受腹腔镜手术. 结果 11例腹腔镜下成功切取组织做出病理诊断, 其中4例改开放手术切除肿瘤.1例卵巢癌术后二次探查为阴性发现. 结论腹腔镜手术对小儿腹部恶性肿瘤的诊断、分期、可切除性判断和肿瘤复发与转移的评估有着重要作用.

Laparoscopic surgery in the diagnosis and management of abdominal solid tumors in children:A report of 12 cases

Objective To explore the value of laparoscopic surgery in the diagnosis and management of abdominal solid tumors in children. Methods A total of 12 children (mean age, 6 years and 2 months) with abdominal solid tumors underwent laparoscopic surgery between August 1999 and April 2004. Imageological examinations such as B-ultrasonography, CT, MRI, or IVP, bone marrow biopsy, and tumor markers such as 24-hour urinary vanillyl mandelic acid (VMA) and neuron-specific enolase (NSE) or blood alpha-fetoprotein (AFP) failed to clarify a diagnosis. All the children received laparoscopic surgery. Results Laparoscopic biopsy for pathological examination was successfully completed in 11 patients, and a conversion to open resection of tumors was made in 4 of them. In one patient a re-exploration after operation for ovarian cancer showed negative findings. Conclusions Laparoscopic procedure is of great importance in the diagnosis, staging, assessment of resectability, evaluation of recurrence and metastasis for abdominal malignant tumors in children.