單孔腹腔鏡診治腹膜假性黏液瘤 2 例報道_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

王越市 ,  于宏（男） , 于宏（女） , 肖剛

中國醫科大學附屬盛京醫院普通外科（沈陽 110004）;

Corresponding?author：

于宏（男）, Email: yuhong1973@163.com

Keywords：

腹膜假性黏液瘤; 單孔腹腔鏡; 診斷; 治療

DOI：

10.7507/1007-9424.201703006

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的探討腹膜假性黏液瘤的診斷與治療方法。方法對中國醫科大學附屬盛京醫院2014 和2015 年收治的 2 例腹膜假性黏液瘤患者的臨床資料進行回顧性分析。結果 2 例患者經其他檢查均未明確診斷，后在單孔腹腔鏡探查中明確診斷。手術切口長度為 2～3 cm，手術操作時間均約為 30 min，術中均無明顯出血，術后均只使用非甾體類抗炎止痛藥物 1 次。2 例患者均在術后 6 h 下床活動，24 h 內排氣，48 h 內恢復至術前的生命體征平穩、飲食睡眠正常及可自主活動的狀態。結論腹膜假性黏液瘤臨床少見，組織來源不定，無特異性臨床表現，常規檢查診斷較為困難，單孔腹腔鏡在腹膜假性黏液瘤的診斷與治療中具有明顯的優勢。

Citation： 王越市, 于宏（男）, 于宏（女）, 肖剛. 單孔腹腔鏡診治腹膜假性黏液瘤 2 例報道. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(10): 1265-1268. doi: 10.7507/1007-9424.201703006 Copy

1.	Wertheim I, Fleischhacker D, McLachlin CM, et al. Pseudomyxoma peritonei: a review of 23 cases. Obstet Gynecol, 1994, 84(1): 17-21.
2.	黃玲, 鄭星, 蔣偉. 腹膜假粘液瘤的臨床診治并文獻復習. 中國美容醫學, 2010, 19(1): 73.0.
3.	Ronnett BM, Yan H, Kurman RJ, et al. Patients with pseudomyxoma peritonei associated with disseminated peritoneal adenomucinosis have a significantly more favorable prognosis than patients with peritoneal mucinous carcinomatosis. Cancer, 2001, 92(1): 85-91.
4.	Ronnett BM, Shmookler BM, Diener-West M, et al. Immunohistochemical evidence supporting the appendiceal origin of pseudomyxoma peritonei in women. Int J Gynecol Pathol, 1997, 16(1): 1-9.
5.	Guerrieri C, Fr?nlund B, Boeryd B. Expression of cytokeratin 7 in simultaneous mucinous tumors of the ovary and appendix. Mod Pathol, 1995, 8(5): 573-576.
6.	Guerrieri C, Fr?nlund B, Fristedt S, et al. Mucinous tumors of the vermiform appendix and ovary, and pseudomyxoma peritonei: histogenetic implications of cytokeratin 7 expression. Hum Pathol, 1997, 28(9): 1039-1045.
7.	Prayson RA, Hart WR, Petras RE. Pseudomyxoma peritonei. A clinicopathologic study of 19 cases with emphasis on site of origin and nature of associated ovarian tumors. Am J Surg Pathol, 1994, 18(6): 591-603.
8.	趙吉平, 薛晨暉, 劉立恒. 腹膜假性粘液瘤的 CT 診斷. 中國現代醫生, 2009, 47(16): 96-97.0.
9.	邱乾德, 許崇永, 相世峰. 腹膜假性黏液瘤 mr 診斷(附 17 例報告). 醫學影像學雜志, 2008, 18(4): 380-383.0.
10.	譚國強, 吳標, 蘭勇, 等. 腹膜假性粘液瘤的 CT 診斷與鑒別診斷. 中國 CT 和 MRI 雜志, 2007, 5(2): 37-39.0.
11.	Pfitzer P, Richartz G. Cytology of pseudomyxoma peritonei. Cytopathology, 1995, 6(5): 304-315.
12.	Miner TJ, Shia J, Jaques DP, et al. Long-term survival following treatment of pseudomyxoma peritonei: an analysis of surgical therapy. Ann Surg, 2005, 241(2): 300-308.
13.	周曾芬, 秦興陸, 崔蓉. 疑難性腹部疾病診斷性腹腔鏡下常見與罕見病變的特征. 罕少疾病雜志, 2001, 8(1): 1-3.0.
14.	Vargas C, Jeffers LJ, Bernstein D, et al. Diagnostic laparoscopy: a 5-year experience in a hepatology training program. Am J Gastroenterol, 1995, 90(8): 1258-1262.
15.	Salky B. Diagnostic laparoscopy. Surg Laparosc Endosc, 1993, 3(2): 132-134.
16.	Porcel A, Alcaín G, Moreno M, et al. Value of laparoscopy in ascites of undetermined origin. Rev Esp Enferm Dig, 1996, 88(7): 485-489.
17.	施素華, 張正榮, 李碩, 等. 腹膜假性粘液瘤 7 例的診治體會. 皖南醫學院學報, 2008, 27(3): 212-214.0.
18.	季勇, 毛勤生. 闌尾粘液囊腫、腹膜假性粘液瘤診斷與治療—附 8 例報告. 臨床急診雜志,2001, 2(2): 92-93.0.
19.	Cioppa T, Vaira M, Bing C, et al. Cytoreduction and hyperthermic intraperitoneal chemotherapy in the treatment of peritoneal carcinomatosis from pseudomyxoma peritonei. World J Gastroenterol, 2008, 14(44): 6817-6823.
20.	Sugarbaker PH. Cytoreductive surgery and peri-operative intraperitoneal chemotherapy as a curative approach to pseudomyxoma peritonei syndrome. Eur J Surg Oncol, 2001, 27(3): 239-243.
21.	Bryant J, Clegg AJ, Sidhu MK, et al. Systematic review of the Sugarbaker procedure for pseudomyxoma peritonei. Br J Surg, 2005, 92(2): 153-158.

1. Wertheim I, Fleischhacker D, McLachlin CM, et al. Pseudomyxoma peritonei: a review of 23 cases. Obstet Gynecol, 1994, 84(1): 17-21.
2. 黃玲, 鄭星, 蔣偉. 腹膜假粘液瘤的臨床診治并文獻復習. 中國美容醫學, 2010, 19(1): 73.0.
3. Ronnett BM, Yan H, Kurman RJ, et al. Patients with pseudomyxoma peritonei associated with disseminated peritoneal adenomucinosis have a significantly more favorable prognosis than patients with peritoneal mucinous carcinomatosis. Cancer, 2001, 92(1): 85-91.
4. Ronnett BM, Shmookler BM, Diener-West M, et al. Immunohistochemical evidence supporting the appendiceal origin of pseudomyxoma peritonei in women. Int J Gynecol Pathol, 1997, 16(1): 1-9.
5. Guerrieri C, Fr?nlund B, Boeryd B. Expression of cytokeratin 7 in simultaneous mucinous tumors of the ovary and appendix. Mod Pathol, 1995, 8(5): 573-576.
6. Guerrieri C, Fr?nlund B, Fristedt S, et al. Mucinous tumors of the vermiform appendix and ovary, and pseudomyxoma peritonei: histogenetic implications of cytokeratin 7 expression. Hum Pathol, 1997, 28(9): 1039-1045.
7. Prayson RA, Hart WR, Petras RE. Pseudomyxoma peritonei. A clinicopathologic study of 19 cases with emphasis on site of origin and nature of associated ovarian tumors. Am J Surg Pathol, 1994, 18(6): 591-603.
8. 趙吉平, 薛晨暉, 劉立恒. 腹膜假性粘液瘤的 CT 診斷. 中國現代醫生, 2009, 47(16): 96-97.0.
9. 邱乾德, 許崇永, 相世峰. 腹膜假性黏液瘤 mr 診斷(附 17 例報告). 醫學影像學雜志, 2008, 18(4): 380-383.0.
10. 譚國強, 吳標, 蘭勇, 等. 腹膜假性粘液瘤的 CT 診斷與鑒別診斷. 中國 CT 和 MRI 雜志, 2007, 5(2): 37-39.0.
11. Pfitzer P, Richartz G. Cytology of pseudomyxoma peritonei. Cytopathology, 1995, 6(5): 304-315.
12. Miner TJ, Shia J, Jaques DP, et al. Long-term survival following treatment of pseudomyxoma peritonei: an analysis of surgical therapy. Ann Surg, 2005, 241(2): 300-308.
13. 周曾芬, 秦興陸, 崔蓉. 疑難性腹部疾病診斷性腹腔鏡下常見與罕見病變的特征. 罕少疾病雜志, 2001, 8(1): 1-3.0.
14. Vargas C, Jeffers LJ, Bernstein D, et al. Diagnostic laparoscopy: a 5-year experience in a hepatology training program. Am J Gastroenterol, 1995, 90(8): 1258-1262.
15. Salky B. Diagnostic laparoscopy. Surg Laparosc Endosc, 1993, 3(2): 132-134.
16. Porcel A, Alcaín G, Moreno M, et al. Value of laparoscopy in ascites of undetermined origin. Rev Esp Enferm Dig, 1996, 88(7): 485-489.
17. 施素華, 張正榮, 李碩, 等. 腹膜假性粘液瘤 7 例的診治體會. 皖南醫學院學報, 2008, 27(3): 212-214.0.
18. 季勇, 毛勤生. 闌尾粘液囊腫、腹膜假性粘液瘤診斷與治療—附 8 例報告. 臨床急診雜志,2001, 2(2): 92-93.0.
19. Cioppa T, Vaira M, Bing C, et al. Cytoreduction and hyperthermic intraperitoneal chemotherapy in the treatment of peritoneal carcinomatosis from pseudomyxoma peritonei. World J Gastroenterol, 2008, 14(44): 6817-6823.
20. Sugarbaker PH. Cytoreductive surgery and peri-operative intraperitoneal chemotherapy as a curative approach to pseudomyxoma peritonei syndrome. Eur J Surg Oncol, 2001, 27(3): 239-243.
21. Bryant J, Clegg AJ, Sidhu MK, et al. Systematic review of the Sugarbaker procedure for pseudomyxoma peritonei. Br J Surg, 2005, 92(2): 153-158.

Previous Article
膽囊結石合并膽總管結石術式選擇的臨床研究
Next Article
Application and research progress of magnetic resonance imaging lipid detection techniques in abdomen and pelvis

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

單孔腹腔鏡診治腹膜假性黏液瘤 2 例報道

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content