Hou Peimin,Wang Dongming,Zhang Qiangye,et al.Application and skill exploration of laparoscopic and thoracoscopic technology in pediatric tumor resection[J].Journal of Clinical Pediatric Surgery,,18():277-281.[doi:10.3969/j.issn.1671-6353.2019.04.006]
Application and skill exploration of laparoscopic and thoracoscopic technology in pediatric tumor resection
- Keywords:
- Neoplasms; Laparoscopy; Thoracoscopy; Surgical Procedures; Operative
- CLC:
- R729;R616.5
- Abstract:
- Objective To explore the feasibility,clinical value,operative skill and application prospect of laparothoracoscopic technology in the resection of pediatric tumor and sum up the experiences.Methods A retrospective analysis was conducted for the clinical data of 221 patients undergoing tumor resection by laparoscopy/thoracoscopy from January 2009 to December 2016.Results All pediatric tumor resections were operated through mini-invasively successfully,including thoracoscopic lung and mediastinum tumor resections (n=53) and laparoscopic abdominal,pelvic and retroperitoneal tumor resections (n=168) and retroperitoneal tumor converting into open surgery (n=2).Ileocecal tumors (n=5),ovarian cyst (n=33) and ovarian teratoma (n=19) were resected and extracted through navel.There was no onset of collateral trauma or blood transfusion.Infections (n=9) and keloids (n=3) occurred at the Trocar incision.Discharge occurred smoothly at 5.9±3.1 days after operation.During follow-ups,two recurrent cases of pulmonary cyst were cured after re-operation.Two cases of mediastinal neuroblastoma receoved supplemental chemotherapy after surgery and both survived decenely.A case of postoperatibe adhesive intestinal obstruction,which received conservative treatment,occurred in a patient with mesenteric lymphangioma.After chemotherapy,another case of retroperitoneal immature teratoma died.Other children of malignant tumors survived decently and the survvial rate of malignant tumor was 80% (8/10).Conclusion Laparothoracoscopic resection of pediatric tumor is both safe and reliable.Extracting cystic tumor through navel after suction may simplify operative procedures.Cystic-solid tumor can be resected under laparoscopy or thoracoscopy.Small solid tumor,benign or malignant,can be resected under laparoscopy or thoracoscopy and malignant tumor is not absolute contraindications of mini-invasive surgery.
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Memo
收稿日期:2018-10-30。
基金项目:国家自然科学基金（编号：81704192）
通讯作者:李爱武,Email:liaiwuxie@aliyun.com