后腹腔镜手术治疗肾上腺神经鞘瘤  

Adrenal schwannoma treated with retroperitoneal laparoscopic surgery

作　　者：杨元兴 王亮[1] 方辉龙 崔喆[1] YANG Yuan-xing;WANG Liang;FANG Hui-long;CUI Zhe(Department of Urology,General Hospital,Tianjin Medical University,Tianjin 300052,China)

机构地区：[1]天津医科大学总医院泌尿外科,天津300052

出　　处：《天津医科大学学报》2020年第2期171-174,共4页Journal of Tianjin Medical University

摘　　要：目的:探讨肾上腺神经鞘瘤的诊疗特点。方法:回顾性分析9例后腹腔镜术后经病理证实为肾上腺神经鞘瘤患者的病例资料,并结合2012年1月至2018年12月国内发表的关于肾上腺神经鞘瘤文献进行复习。结果:9例肿瘤均位于右侧,肾上腺相关血、尿生化检查均在正常范围内,均顺利完成后腹腔镜下肾上腺肿物切除术,术后病理证实为肾上腺神经鞘瘤,术后无出血、感染等并发症,随访12~36个月,未见复发和转移。结论:肾上腺神经鞘瘤术前诊断困难,确诊依赖病理学及免疫组织化学检查,后腹腔镜手术可完整切除肿瘤,可作为诊断及治疗该病的选择。Objective:To analyze the key points of diagnosis and treatment of adrenal schwannoma.Methods:The clinical data of 9 patients with pathology-proven adrenal schwannoma after retroperitoneal laparoscopic surgery were retrospectively analyzed,and the related literatures on adrenal neurinoma published in China from January 2012 to December 2018 were reviewed.Results:All 9 tumors were located at the right adrenal,and adrenal metabolic evaluation was in normal range.Retroperitoneal laparoscopic adrenal tumor resection was undertaken in all cases and the diagnosis of adrenal schwannoma were confirmed by pathology.No bleeding,infection and other complications occurred after operation,there was no tumor-specific recurrence and metastasis over the follow-up period of 12-36 months.Conclusion:The preoperative diagnosis of adrenal schwannoma is difficult,and the definite diagnosis depends on pathology and immunohistochemistry.Retroperitoneal laparoscopic surgery can remove the tumor completely,which can be strongly suggested as diagnosis and treatment of the disease.

关 键 词：肾上腺肿瘤 神经鞘瘤 治疗 预后 

分 类 号：R736.6[医药卫生—肿瘤]