摘要
目的 探讨后腹腔镜治疗6 月龄以下婴儿肾上腺区肿物的可行性.方法 2020 年 1 月～2023 年 11 月,对5 例6 月龄以下的肾上腺区肿物行后腹腔镜手术,年龄1 月18 天～4 月27 天,体重5～8 kg.1 例产检超声发现,4 例出生后其他原因腹部超声发现.超声和CT提示肾上腺区肿物直径1.7～5.5 cm.结果 手术均在后腹腔镜下完成,行肾上腺+肿瘤切除术,手术时间65～135 min,中位数94 min,术中出血量<10 ml,引流管留置时间3～6d,中位数5d.病理诊断肾上腺神经母细胞瘤4 例,肾上腺增生1 例.随访1～36 个月,中位数3 个月,复查腹部彩超、CT等未见复发、转移.结论 对于6 月龄以下婴儿肾上腺区肿瘤(瘤体边界尚可者),后腹腔镜手术相对安全.
Abstract
Objective To investigate the feasibility of retroperitoneoscopy in the treatment of adrenal masses in infants under 6 months old.Methods From January 2020 to November 2023,retroperitoneoscopic surgery was performed in 5 infants under 6 months old with adrenal tumors.Their age was from 1 month and 18 days to 4 months and 27 days,and their body weight was 5-8 kg.The lesion was found by prenatal ultrasonography in 1 case and by abdominal ultrasonography for other reasons after birth in 4 cases.Ultrasound and CT indicated a diameter of 1.7-5.5 cm for the adrenal masses.Results The operations of adrenalectomy and tumor resection were completed under retroperitoneoscopy.The operative time was 65-135 min(median,94 min).The intraoperative blood loss was less than 10 ml.The postoperative drainage tube retention time was 3-6 d(median,5 d).Pathological diagnosis showed 4 cases of adrenal neuroblastoma and 1 case of adrenal hyperplasia.Follow-ups for 1-36 months(median,3 months)with abdominal ultrasound and CT scanning showed no recurrence or metastasis.Conclusion Retroperitoneoscopy is relatively safe for the treatment of adrenal tumors in infants under 6 months old(tumors with acceptable boundaries).
基金项目
济南市卫生健康委科技计划(2023)(2023-2-132)
济南市卫生健康委科技计划(2023)(2023-2-129)
山东大学附属儿童医院高水平科研项目(SDFE-GCC2023005)
NETL
NSTL
维普
万方数据