机器人辅助腹腔镜切除盆腔表皮样囊肿1例报告并文献复习

摘要

目的：结合文献探讨腹膜后表皮样囊肿的诊治方法，介绍机器人辅助腹腔镜切除盆腔腹膜后巨大肿瘤的手术经验。方法：为1例青年男性盆腔腹膜后巨大肿瘤患者行机器人辅助腹腔镜手术切除，并结合文献探讨腹膜后表皮样囊肿的诊治方法。结果：患者行机器人辅助腹腔镜下表皮样囊肿切除术，手术完整切除肿瘤，手术时间1．5 h、出血量约8 ml。术后病理诊断为表皮样囊肿。术后1周出院，随访8个月未见囊肿复发及转移。结论：腹膜后表皮样囊肿在临床症状上缺乏特异性，需要与脊索瘤、畸胎瘤等相鉴别；因有感染、恶变的倾向，治疗上应手术切除。机器人辅助腹腔镜手术治疗位于盆腔的腹膜后巨大肿瘤具有良好的适应性。%Objective:To investigate the diagnosis and treatment of retroperitoneal epidermoid cyst ,and introduce surgical ex-perience of robot-assisted laparoscopic resection of huge pelvic retroperitoneal tumor .Methods:The robot-assisted laparoscopic resection of huge pelvic retroperitoneal tumor was carried out in a young male patient .The diagnosis and treatment of retroperitoneal epidermoid cyst were discussed combining with literature .Results:The epidermoid cyst was completely resected during the operation of 1.5 h,with about 8 ml of blood loss .Postoperative pathology identified as epidermoid cyst .The patient was discharged on the seventh postoperative day,and had no evidence of recurrence or metastasis during the follow-up of eight months .Conclusions:Robot-assisted laparoscopic surgery for huge retroperitoneal tumors in the pelvic cavity has good adaptability .The symptoms of retroperitoneal epidermoid cyst need to be differentiated from chordoma and teratoma ,because of nonspecific clinical behaviors;Due to its tendency of infection and cancera-tion,surgical excision should be performed .