腹腔镜在老年人腹膜后肿瘤诊治中的作用

THE ROLE OF LAPAROSCOPIC TECHNIQUE FOR DIAGNOSIS AND TREATMENT OF ABDONMINAL RETROPERITONEAL TUMOR IN OLD PATIENTS

目的探讨腹腔镜在老年病人腹膜后肿瘤疾病诊治中的价值。方法自2000年6月至2004年3月,收治12例老年腹膜后肿瘤病人,行腹腔镜腹腔探查和腹膜后肿瘤活检,其中2例术中同时行肠粘连松解术。结果12例患者均完成腹腔探查和术中肿瘤活检。术中分别取出1～3枚0.4～1.0cm大小的肿瘤组织,行术中冰冻和术后病理检查,5例病人根据快速冰冻病理结果终止手术,7例病人完成肿瘤切除手术。结论腹腔镜可以对老年腹膜后肿瘤疾病的病人进行诊断和分类,减少盲目的剖腹手术。

Objective To study the role of laparoscopic technique for diagnosis and treatment of abdominal retroperitoneal tumor in old patients. Methods Between June 2000 and March 2004,abdominal cavity of 12 old patients with retroperitoneal tumor were explored with laparoscopy and the biopsy of abdominal retroperitoneal tumor. two of these patients also underwent enterolysis at the same time. Results Laparoscopic exploration of abdominal cavity and biopsy of abdominal retroperitoneal tumer were accomplished in all of these patients. 1～3 pieces of tissues of tumor with 0.4～1.0 cm of those tissues were got from every one of these patients. The freeze pathologic study of these tissue were performed in operation. 5 patients were terminated the operation according to the results of freeze pathologic study, and 7 patients were completed the resection of tumor. Conclusions The diagnosis and classification of retroperitoneal tumor can be completed by the laparoscopic exploration of abdominal cavity and the biopsy, and unnecessary operation can be redused.