累及腹腔重要血管的腹膜后节细胞神经瘤切除术23例  

Resection of retroperitoneal ganglioneuroma involving abdominal major vessels:a summary of 23 cases

作　　者：施挺 缪嘉颖 陈锐[1] 王沈凡 冯翔[1] SHI Ting;MIAO Jia-ying;CHEN Rui;WANG Shen-fan;FENG Xiang(Department of Urology,Changhai Hospital,Naval Medical University(Second Military Medical University),Shanghai 200433,China)

机构地区：[1]海军军医大学(第二军医大学)长海医院泌尿外科,上海200433

出　　处：《第二军医大学学报》2021年第12期1424-1427,共4页Academic Journal of Second Military Medical University

摘　　要：目的回顾分析累及腹腔重要血管的腹膜后节细胞神经瘤行手术切除治疗的可行性及安全性。方法选取2020年1月至2021年9月海军军医大学(第二军医大学)长海医院收治的23例节细胞神经瘤患者,肿瘤侵犯腹主动脉、腹腔干、肠系膜上动脉等腹腔重要血管,均行手术切除治疗,并经术后病理学结果确诊。收集患者性别、年龄、切除肿瘤直径、手术时间、术中失血量、引流管留置时间、并发症及随访情况等资料。结果23例患者中,男9例、女14例,年龄36(17~65)岁。23例患者手术均获得成功,手术时间60(45~170)min,术中失血量100(100~2300)mL,切除肿瘤直径3(3~11)cm,术后住院时间4(3~14)d,引流管留置时间4(3~20)d。有5例患者术后出现淋巴漏,所有患者均未出现血管破裂、闭塞等严重术后并发症。截至2021年11月,所有患者均未出现肿瘤复发。结论累及腹腔重要血管的腹膜后节细胞神经瘤行手术切除难度相对较大,但在术者具备一定血管处理经验的前提下仍是安全可靠的治疗方式。Objective To retrospectively analyze the feasibility and safety of surgical resection for patients with retroperitoneal ganglioneuroma involving abdominal major vessels.Methods A total of 23 patients with retroperitoneal ganglioneuroma involving abdominal major vessels(such as abdominal aorta,coeliac trunk and superior mesenteric artery)admitted to Changhai Hospital,Naval Medical University(Second Military Medical University)from Jan.2020 to Sep.2021 were enrolled.All patients underwent surgical resection and were confirmed by postoperative pathology.The clinical data including gender,age,tumor diameter,operation time,intraoperative blood loss,drainage duration,complications and followup outcomes were collected.Results Among the 23 patients,there were 9 males and 14 females,aged 36(17-65)years.The surgery was successful in all cases,the operation time was 60(45-170)min,the intraoperative blood loss was 100(100-2300)mL,the tumor diameter was 3(3-11)cm,the postoperative hospital stay was 4(3-14)d,and the drainage duration was 4(3-20)d.Lymphaitc leakage occurred in 5 cases,and no serious postoperative complications(such as vascular rupture or occlusion)occurred.As of Nov.2021,there was no tumor recurrence in the patients.Conclusion Though surgical resection for patients with retroperitoneal ganglioneuroma involving abdominal major vessels is difficult,it still could be a safe and reliable treatment when the surgeons have extensive vascular surgery experience.

关 键 词：腹膜后肿瘤 神经节瘤 腹腔重要血管 腹主动脉 腹腔干 肠系膜上动脉 手术切除 

分 类 号：R735.4[医药卫生—肿瘤]