经脐内镜手术诊断腹膜假性黏液瘤3例的临床体会

Experience in transumbilical endoscopic surgery diagnosis for 3 cases of pseudomyxoma peritonei

回顾性分析2014年9月至2014年11月应用经脐内镜手术（transumbilical endoscopic surgery,TUES）诊断3例腹膜假性黏液瘤的资料。3例腹水患者均行TUES手术确诊为腹膜假性黏液瘤,手术均获成功,无1例转手术或腹腔镜治疗,手术用时（45±16）min,术中失血量5～10 m L,术后平均恢复时间3 d。患者随访时间9～11个月,术后各患者腹壁切口未见明显疤痕,美容效果良好,均行腹腔热疗及灌注化疗,生存率100%。TUES作为一项新型腹部无痕微创手术,凭借其创伤小、无疤痕、风险小、费用低等优点,在不明原因的腹水诊断中,有较高的临床应用价值。

Three patients of pseudomyxoma peritonei who were diagnozed by transumbilical endoscopic surgery（TUES） were reviewed retrospectively from September 2014 to November 2014. Three cases of ascites patients underwent TUES were diagnozed as pseudomyxoma peritonei. All operations were successful. No open surgery or laparoscopic surgery was required. The mean operative time was（45±16） min; the mean intraoperative blood loss was 510 m L; the mean hospital stay time was 3 days. During the follow up of 911 months, no obvious scar was observed. Cosmetic results appear to be excellent. All patients were treated with intraperitoneal hyperthermia and chemotherapy. Th e survival rate was 100%. As a novel scarless endoscopic invasive abdominal surgery, TUES has high clinical value with the advantages such as small trauma, no scars, small risk and low cost in the diagnosis of unexplained ascites.