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目的总结后腹腔镜手术治疗原发性腹膜后肿瘤的经验,改进手术方法。方法回顾性分析2005年9月～2010年12月收住该院的9例行后腹腔镜手术治疗的腹膜后肿瘤患者的临床资料,包括病理类型、手术方式等。结果所有手术均由后腹腔镜顺利完成,无1例中转开放,手术平均时间55 min,术中平均出血55mL,术后平均住院时间5 d,病理均为良性肿瘤。结论腹膜后肿瘤病理类型多样,位置多变,术前准备充分,严格把握手术适应证,利用后腹腔镜手术治疗腹膜后肿瘤微创、安全、有效。
Objective To summarize the experience of retroperitoneal laparoscopic surgery for primary retroperitoneal tumors and to improve surgical methods. Methods The clinical data of 9 patients undergoing retroperitoneal laparoscopic surgery for retroperitoneal neoplasia admitted from September 2005 to December 2010 were retrospectively analyzed, including pathological types and surgical methods. Results All the operations were completed successfully by retroperitoneoscope. No case was transferred to open. The average operation time was 55 min. The average intraoperative bleeding was 55 mL. The average length of hospital stay was 5 days. The pathology was benign. Conclusions Retroperitoneal neoplasms have various pathological types, varied positions, adequate preoperative preparations, strict indications for surgical indications, and minimally invasive, safe and effective retroperitoneal laparoscopic surgery for retroperitoneal tumors.