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目的:报告3例复杂性盆腔巨大原发非脏器来源肿瘤盆腔原发肿瘤的临床特点以及3D腹腔镜切除手术的方法,分析手术的可行性、安全性及3D腹腔镜的优势。方法:手术均采用3D腹腔镜技术经腹腔入路进行肿瘤切除。进入腹腔后明确肿瘤与邻近周围器官关系及界限,用ligasure和超声刀充分游离肿物,肿瘤较大而盆腔操作空间有限,游离肿瘤期间注意保护乙状结结肠、直肠和膀胱等周围邻近器官。结果:3例手术均获得成功,手术时间分别为225min、58min、50min,术中出血量分别为300ml、200ml、50ml,术后住院时间分别为7、7、8d,3例均无围手术期并发症。术后随访,2例良性肿瘤均无复发;1例恶性间皮瘤术后维持化疗,无复发。结论:3D腹腔镜下切除盆腔巨大原发肿瘤是安全可行的,具有创伤小、出血少、术后恢复较快等优点。
OBJECTIVE: To report the clinical features of pelvic primary tumors of 3 patients with complicated primary giant non-organ tumor of pelvic origin and the method of 3D laparoscopic resection. The feasibility, safety and 3D laparoscopy were analyzed. Methods: All patients underwent 3D laparoscopic surgery for tumor resection via abdominal approach. Into the peritoneal clear tumor and the surrounding organs and the relationship between the boundaries, with a full ligament and ultrasonic scalpel free tumor, the tumor is large and limited pelvic operating space free tumor during the attention of sigmoid colon, rectum and bladder and other nearby organs. Results: All the 3 surgeries were successful. The operative time was 225 min, 58 min and 50 min respectively. The intraoperative blood loss was 300 ml, 200 ml and 50 ml respectively. The postoperative hospital stay was 7, 7 and 8 days respectively. There was no perioperative period in 3 cases. complication. Follow-up showed no recurrence in 2 cases of benign tumor. One case of malignant mesothelioma was treated with chemotherapy without recurrence. Conclusion: 3D laparoscopic resection of pelvic giant primary tumor is safe and feasible, with less trauma, less bleeding, faster recovery and so on.