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目的:总结应用腹腔镜行腹膜后肿瘤切除术的经验。方法:应用腹腔镜行腹膜后肿瘤切除术7例,肿块最小4.5 cm×3.0 cm×2.0 cm,最大12 cm×10 cm×8 cm,病理诊断混合性囊腺瘤和成熟囊性畸胎瘤各2例,腹膜后囊肿、神经鞘瘤和平滑肌瘤各1例。结果:手术均获得成功,手术时间平均为120 min,术中失血平均95 ml,术后36 h内胃肠道恢复蠕动,术后住院时间平均6 d,无并发症发生,随访6～12个月无复发。结论:腹腔镜腹膜后肿瘤切除术具有微创、安全等优点,尤其适用于囊性或体积较小的良性腹膜后肿瘤。
Objective: To summarize the experience of laparoscopic resection of retroperitoneal tumor. Methods: Laparoscopic retroperitoneal resection in 7 cases, the smallest mass 4.5 cm × 3.0 cm × 2.0 cm, the largest 12 cm × 10 cm × 8 cm, pathological diagnosis of mixed cystadenoma and mature cystic teratoma each 2 cases, retroperitoneal cyst, schwannoma and leiomyoma in 1 case. Results: All the operations were successful. The average operation time was 120 min. The average blood loss during operation was 95 ml. The gastrointestinal tract was recovered and wriggled within 36 hours after operation. The average postoperative hospital stay was 6 days. There were no complications and 6 to 12 follow - No recurrence on the month. Conclusion: Laparoscopic resection of retroperitoneal tumor with minimally invasive, safe, etc., especially for cystic or smaller volume of benign retroperitoneal tumors.