摘要
腹膜后节细胞神经瘤是一种罕见的神经源性良性肿瘤,行手术彻底切除,预后良好,但手术难度较大.2013年3月重庆医科大学附属第一医院收治1例复杂性腹膜后节细胞神经瘤患者,入院前9个月彩色多普勒超声检查发现胰头部低回声包块影,大小为6.5 cm×4.5 cm,无任何临床症状.术前腹部CT检查及术中发现肿瘤大小为8.5 cm×7.5 cm×4.5 cm,位于胰腺后方,包绕腹腔干、肝总动脉、脾动脉及肠系膜上动脉等重要血管,包绕胰头部及钩突部,无法分离;与门静脉、肠系膜上静脉、脾静脉、左肾静脉关系密切.术中将肿瘤与各重要血管及胰腺体尾部分离、解剖,但肿瘤与胰头部无法分离,遂行肿瘤切除及胰十二指肠切除术.虽手术难度大,但肿瘤切除彻底,重要血管得到保护,患者术后恢复良好.
Retroperitoneal ganglioneuroma is a rare neurogenic benign tumor. The prognosis of patients was good when the tumor was completely resected, while the surgical procedure is complicated. In March of 2013, a male patient with complex retroperitoneal ganglioneuroma was treated at the First Affiliated Hospital of Chongqing Medical University. A hypoechoic solid lesion （size, 6.5 cm ×4.5 cm） adjacent to the head of the pancreas was detected by color Doppler ultra-sonography 9 months ago, and no any other clinical symptoms were detected. Perioperative abdominal computed tomography and the surgery confirmed that the tumor （size, 8.5 cm × 7.5 cm × 4.5 cm） was located beneath the pancreas, encompassing the celiac artery, hepatic artery, splenic artery and superior mesenteric artery, surrounding the head and uncinate process of the pancreas, making it impossible to be separated. The tumor was closely connected with the portal vein, superior mesenteric vein, splenic vein and left renalvein. The tumor was separated from the major blood vessels, the body and tail of the pancreas, while the tumor could not be resected from the pancreatic bead, and thus tumor resection and pancreaticoduodenectomy were performed. The surgery was extremely diffcult, but the complete removal of tumor was successfully achieved without excision of the major blood vessels and the patient recovered well.
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2014年第6期486-488,共3页
Chinese Journal of Digestive Surgery
关键词
腹膜后肿瘤
节细胞神经肿瘤
外科手术
Retroperitoneal neoplasms
Ganglioneuroma
Surgical procedure, operative
