机器人辅助腹腔镜切除盆腔表皮样囊肿1例报告并文献复习  

Robot-assisted laparoscopic resection of pelvic epidermoid cyst:a case report and literature review

作　　者：刘翔[1] 唐朝朋[1] 董杰[1] 徐振宇[1] 葛京平[1] 张征宇[1] LIU Xiang TANG Chao-peng DONG Jie(Department of Urology, Jinling Hospital, School of Medicine, Nanjing University/Nanjing General Hospital of Nan- ring Military Command, PLA , Nanjing 210002, China)

机构地区：[1]南京大学附属金陵医院/南京军区南京总医院,江苏南京210002

出　　处：《腹腔镜外科杂志》2016年第12期936-939,共4页Journal of Laparoscopic Surgery

摘　　要：目的:结合文献探讨腹膜后表皮样囊肿的诊治方法,介绍机器人辅助腹腔镜切除盆腔腹膜后巨大肿瘤的手术经验。方法:为1例青年男性盆腔腹膜后巨大肿瘤患者行机器人辅助腹腔镜手术切除,并结合文献探讨腹膜后表皮样囊肿的诊治方法。结果:患者行机器人辅助腹腔镜下表皮样囊肿切除术,手术完整切除肿瘤,手术时间1.5 h、出血量约8 ml。术后病理诊断为表皮样囊肿。术后1周出院,随访8个月未见囊肿复发及转移。结论:腹膜后表皮样囊肿在临床症状上缺乏特异性,需要与脊索瘤、畸胎瘤等相鉴别;因有感染、恶变的倾向,治疗上应手术切除。机器人辅助腹腔镜手术治疗位于盆腔的腹膜后巨大肿瘤具有良好的适应性。Objective： To investigate the diagnosis and treatment of retroperitoneal epidermoid cyst,and introduce surgical experience of robot-assisted laparoscopic resection of huge pelvic retroperitoneal tumor. Methods： The robot-assisted laparoscopic resection of huge pelvic retroperitoneal tumor was carried out in a young male patient. The diagnosis and treatment of retroperitoneal epidermoid cyst were discussed combining with literature. Results： The epidermoid cyst was completely resected during the operation of 1. 5 h,with about 8 ml of blood loss. Postoperative pathology identified as epidermoid cyst. The patient was discharged on the seventh postoperative day,and had no evidence of recurrence or metastasis during the follow-up of eight months. Conclusions： Robot-assisted laparoscopic surgery for huge retroperitoneal tumors in the pelvic cavity has good adaptability. The symptoms of retroperitoneal epidermoid cyst need to be differentiated from chordoma and teratoma,because of nonspecific clinical behaviors; Due to its tendency of infection and canceration,surgical excision should be performed.

关 键 词：表皮样囊肿 机器人手术 腹腔镜检查 腹膜后肿瘤 

分 类 号：R713[医药卫生—妇产科学]