后腹腔镜术治疗巨大肾上腺节细胞神经瘤11例临床分析

目的探讨后腹腔镜手术切除巨大肾上腺节细胞神经瘤(8cm)的安全性和可行性。方法回顾性分析我院2008年6月至2013年5月在后腹腔镜下切除巨大肾上腺节细胞神经瘤(8cm)11例患者的临床资料,并结合国内外文献资料分析总结。本组11例肿瘤直径均8cm,最大径达10.2cm。结果所有手术均顺利完成,无中转开放,术后病理证实均为肾上腺节细胞神经瘤,术后随访12~24个月,均未见肿瘤复发和转移。结论后腹腔镜下巨大肾上腺节细胞神经瘤(8cm)切除具有创伤小、胃肠道影响小、恢复快等优点,术前仔细了解肿瘤与周围组织关系,并在做好充分准备的前提下,后腹腔镜同样是可选择的安全术式。

Clinical analysis of retroperitoneal laparoscopic surgery for 11 cases of large adre-nal ganglioneuroma

Objective To explore the safety and feasibility of retroperitoneal laparoscopic surgery for large adrenal gan‐glioneuroma .Methods Clinical data of 11 cases of large adrenal ganglioneuroma undergoing retroperitoneal laparoscopic surgery during June 2008 and May 2013 were retrospectively analyzed and literature was reviewed .The tumor diameter was greater than 8 cm ,and the largest diameter was 10 .2 cm .Results All procedures were performed successfully without con‐version to open surgery .The pathological diagnosis was adrenal ganglioneuroma .During the follow‐up of 12 -24 months ,no recurrence or metastasis was observed .Conclusions Retroperitoneal laparoscopic surgery for large adrenal ganglioneuroma has advantages of small trauma ,few gastrointestinal tract effect and speedy recovery .If the relationship between tumor and surrounding tissues is clear ,and full preparation is made before operation ,retroperitoneal laparoscopic surgery is safe for large adrenal ganglioneuroma .