腹腔镜辅助手术切除小儿骶尾部畸胎瘤的疗效分析  

Efficacy and feasibility of laparoscopic assisted resection of sacrococcygeal teratoma in children

作　　者：黄振强[1] 唐华建[1] 郑锦涛[1] 王剑锋[1] 陈一平[1] 李伟燎[1] 刘国庆[1] Huang Zhenqiang;Tang Huajiang;Zheng Jintao;Wang Jianfeng;Chen Yiping;Li Weiliao;Liu Guoqing(Department of Pediatric Surgery Municipal Women and Children＇s Hospital Foshan 528000 China)

机构地区：[1]广东省佛山市妇幼保健院小儿外科,广东省佛山市528000

出　　处：《临床小儿外科杂志》2018年第8期607-610,共4页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨腹腔镜辅助手术切除小儿Ⅲ、Ⅳ型骶尾部畸胎瘤的可行性、安全性及疗效。方法回顾性分析腹腔镜辅助手术治疗的12例骶尾部畸胎瘤患儿的临床资料,其中Ⅲ型8例,Ⅳ型4例。先经腹腔镜游离瘤体的腹腔部分,结扎肿瘤供应血管,再经骶尾部完整切除肿瘤。结果 12例患儿均顺利完成手术,无一例出现严重并发症。2例术后失访,10例获得半年以上的随访,其中1例复发,其余病例无复发。结论腹腔镜辅助小儿骶尾部畸胎瘤切除术是有效、安全、可行、损伤小的手术方法。Objective To explore the feasibility,safety and operation points of laparoscopic assisted resection of types Ⅲ and Ⅳ sacrococcygeal teratoma （SCT） in children. Methods Twelve SCT children undergoing laparoscopicassisted resection were analyzed retrospectively. The clinical types were Ⅲ （ n = 8） and Ⅳ（n = 4）. Laparoscopic liberating of intraperitoneal part of tumor and ligation of tumor blood vessels were performed through a sacrococcygeal incision. Then total tumor removal was accomplished. Results All operationswere completed smoothly without serious complications. Two cases were lost to followups and the remainder wastracked for over 6 months. Only one case recurred. Conclusion Laparoscopically assisted resection of SCT iseffective,safe and miniinvasive in children.

关 键 词：腹腔镜检查 骶尾部 畸胎瘤 儿童 

分 类 号：R739.93[医药卫生—肿瘤]