腹腔镜下骶前囊肿切除术33例临床分析

中国综合临床 Pub Date : 2019-09-01 DOI:10.3760/CMA.J.ISSN.1008-6315.2019.05.016

B. Niu, Jiaolin Zhou, Bin Wu

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引用次数: 0

摘要

目的总结和分析腹腔镜下骶髂囊肿切除术的经验，以期推广微创手术治疗该病。方法回顾性分析2012年11月至2017年6月在中国医学科学院北京协和医院腹腔镜治疗骶前囊肿33例的临床资料。统计手术时间、术中和术后并发症的发生率以及住院时间。结果肿瘤切除按计划完成，未转为开放手术。平均手术时间为（124.4±63.0）分钟。直肠损伤1例，骶前静脉丛出血1例。并发症发生率6%，术后发生直肠瘘2例（6%）。术后平均住院时间为（6.7±4.3）天。33例中，2例失联。1例术后1年骶前囊肿复发。结论腹腔镜骶前囊肿切除术在技术上是可行的，有助于提高术中暴露量，增加手术空间，提高肿瘤切除率。关键词：腹腔镜；肢前间隙；直肠后囊肿

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Clinical analysis of 33 cases on laparoscopic resection of presacral cysts

Objective To summarize and analyze our experiences uponperforming laparoscopic resection ofpresacral cysts, at the aim of generalizing the minimally invasive surgery in the treatment of this disease. Methods The clinical data of 33 patients with presacral cysts treated by laparoscopy in Peking Union Medical College Hospital of Chinese Academy of Medical Sciences from November 2012 to June 2017 were retrospectively analyzed.The operation time, the incidence of intraoperative and postoperative complications and the length of hospital stay were counted. Results Tumor excision was completed according to the plan without conversion to open surgery.The average operation time was (124.4±63.0) minutes.There were 1 case of rectal injury and 1 case of presacral venous plexus hemorrhage.The complications were 6%.Postoperative rectal leakage occurred in 2 cases (6%). The average hospitalization time after operation was (6.7±4.3) days.Of 33 cases, 2 cases were lost.One case had recurrence of presacral cyst one year after operation. Conclusion Laparoscopic resection of presacral cysts is technically feasible, and helps to improve intraoperative exposure, increase operating space and improve the resection rate of tumors. Key words: Laparoscopy; Presacral space; Retrorectal cyst

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来源期刊

中国综合临床

CiteScore

0.10

自引率

0.00%

发文量

16855

期刊介绍： Clinical Medicine of China is an academic journal organized by the Chinese Medical Association (CMA), which mainly publishes original research papers, reviews and commentaries in the field. Clinical Medicine of China is a source journal of Peking University (2000 and 2004 editions), a core journal of Chinese science and technology, an academic journal of RCCSE China Core (Extended Edition), and has been published in Chemical Abstracts of the United States (CA), Abstracts Journal of Russia (AJ), Chinese Core Journals (Selection) Database, Chinese Science and Technology Materials Directory, Wanfang Database, China Academic Journal Database, JST Japan Science and Technology Agency Database (Japanese) (2018) and other databases.