目的 探讨腹腔镜辅助手术切除小儿Ⅲ、Ⅳ型骶尾部畸胎瘤的可行性、安全性及疗效。方法 回顾性分析腹腔镜辅助手术治疗的12例骶尾部畸胎瘤患儿的临床资料,其中Ⅲ型8例,Ⅳ型4例。先经腹腔镜游离瘤体的腹腔部分,结扎肿瘤供应血管,再经骶尾部完整切除肿瘤。结果 12例患儿均顺利完成手术,无一例出现严重并发症。2例术后失访,10例获得半年以上的随访,其中1例复发,其余病例无复发。结论 腹腔镜辅助小儿骶尾部畸胎瘤切除术是有效、安全、可行、损伤小的手术方法。
Objective To explore the feasibility,safety and operation points of laparoscopic assisted resection of types Ⅲ and Ⅳ sacrococcygeal teratoma(SCT)in children. Methods Twelve SCT children undergoing laparoscopic-assisted resection were analyzed retrospectively.The clinical types were Ⅲ(n=8)and Ⅳ(n=4).Laparoscopic liberating of intraperitoneal part of tumor and ligation of tumor blood vessels were performed through a sacrococcygeal incision.Then total tumor removal was accomplished. Results All operations were completed smoothly without serious complications.Two cases were lost to follow-ups and the remainder was tracked for over 6 months.Only one case recurred. Conclusion Laparoscopically assisted resection of SCT is effective,safe and mini-invasive in children.
