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中华腔镜泌尿外科杂志(电子版)

中华腔镜泌尿外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (04) : 406 -409. doi: 10.3877/cma.j.issn.1674-3253.2024.04.018

病例报告

后腹腔镜处理一例腹膜后良性上皮性囊肿的报道
王晓玲1, 林天海2, 陈林3, 杨进3, 韦堂墙3,†()   
  1. 1. 610041　成都，四川大学华西医院泌尿外科，四川大学华西护理学院；610041　成都，四川大学华西医院门诊部
    2. 610041　成都，四川大学华西医院泌尿外科，四川大学华西护理学院
    3. 610081　成都大学附属医院泌尿外科
  • 收稿日期:2024-01-17 出版日期:2024-08-01
  • 通信作者: 韦堂墙
  • 基金资助:
    国家自然科学基金项目(81900617); 四川省科学技术厅项目(2022NSFSC1592); 成都市科技项目(2020-YF05-00153-SN)

One case report of retroperitoneal laparoscopic treatment of a retroperitoneal benign epithelial cyst

Xiaoling Wang1, Tianhai Lin2, Lin Chen3, Jin Yang3, Tangqiang Wei3,†()   

  1. 1. Department of Urology, West China Hospital of Sichuan University, West China School of Nursing of Sichuan University, Chengdu 610041, China; Outpatient Department, West China Hospital of Sichuan University, Chengdu 610041, China
    2. Department of Urology, West China Hospital of Sichuan University, West China School of Nursing of Sichuan University, Chengdu 610041, China
    3. Department of Urology, Affiliated Hospital of Chengdu University, Chengdu 610081, China
  • Received:2024-01-17 Published:2024-08-01
  • Corresponding author: Tangqiang Wei
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引用本文：

王晓玲, 林天海, 陈林, 杨进, 韦堂墙. 后腹腔镜处理一例腹膜后良性上皮性囊肿的报道[J]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(04): 406-409.

Xiaoling Wang, Tianhai Lin, Lin Chen, Jin Yang, Tangqiang Wei. One case report of retroperitoneal laparoscopic treatment of a retroperitoneal benign epithelial cyst[J]. Chinese Journal of Endourology(Electronic Edition), 2024, 18(04): 406-409.

本文报告了一例因"右侧腰部胀痛1年"入院的女性患者，影像学检查显示右侧腹膜后囊肿，大小约11.2 cm×7.1 cm×6.9 cm。采用后腹腔镜手术成功完整地切除了该囊肿。此病例可为后腹腔镜处理腹膜后良性囊性病变提供经验。

关键词: 腹腔镜, 腹膜后囊肿, 后腹腔镜, 上皮性囊肿

The article discusses the case of a female patient who was admitted with a complaint of "right flank distending pain for one year". Imaging tests showed a retroperitoneal cyst on the right side, measuring approximately 11.2 cm×7.1 cm×6.9 cm. A retroperitoneal laparoscopic surgery was successfully performed to completely remove the cyst. This case could provide experience for the retroperitoneal laparoscopic treatment of benign retroperitoneal cystic lesions.

Key words: Laparoscopy, Retroperitoneal cyst, Retroperitoneal laparoscopic, Epithelial cyst
图1　腹膜后囊肿患者腹部CT扫描结果　 图2　后腹腔镜处理腹膜后囊肿术中关键步骤　 图3　腹膜后囊肿的病理图片注：1a～1c为术前CT增强扫描的图片，箭头示腹膜后囊性占位；1d为术后3年复查CT，右侧腹膜后未见囊肿复发；2a示置入细针抽吸囊液，如箭头所示；2b示电凝封闭穿刺孔，如圆圈处所示，沿囊肿边缘分离，如橙色线所示；3a为腹膜后囊肿的大体标本；3b和3c分别为腹膜后囊肿HE染色的40倍及200倍镜下观
[1]
Sharma G, Shreshtha S, Bhatt S, et al. Retroperitoneal cystic mass: a diagnostic challenge[J]. ANZ J Surg, 2019, 89(12): E576-E577.
[2]
刘波, 陈从波, 姚启盛, 等. 经腹腔镜治疗腹膜后支气管源性囊肿2例临床报道[J]. 现代泌尿生殖肿瘤杂志, 2022, 14(2): 117-119.
[3]
刘吉平,张国胜,高志伟. 腹腔镜下切除巨大腹膜后囊肿1例报道[J]. 中国普外基础与临床杂志,2015,22(9):1106.
[4]
严秋霞, 贺修文, 韦军民, 等. 腹膜后囊肿腹腔镜手术治疗的体会[J]. 中华普通外科杂志, 2019, 34(7): 583-585.
[5]
Yang DM, Jung DH, Kim H, et al. Retroperitoneal cystic masses: CT, clinical, and pathologic findings and literature review[J]. Radiographics, 2004, 24(5): 1353-1365.
[6]
Rajput D, Srikanth K, Gupta A, et al. Large retroperitoneal cystic lymphangioma mimicking mesenteric cyst: a case report[J]. Pan Afr Med J, 2022, 42: 115.
[7]
Ravo B, Metwally N, Pai PB, et al. Developmental retroperitoneal cysts of the pelvis. A review[J]. Dis Colon Rectum, 1987, 30(7): 559-564.
[8]
Abedini L, Hosseinpour R, Mehrabi S, et al. An asymptomatic huge primary retroperitoneal pseudocyst: a case report and review of the literature[J]. BMC Surg, 2022, 22(1): 58.
[9]
Hoang VT, Nguyen MD, van HAT, et al. Review of diagnosis, differential diagnosis, and management of retroperitoneal lymphangioma[J]. Jpn J Radiol, 2023, 41(3): 283-301.
[10]
Xie W, Huang Z, Huang Z, et al. Retroperitoneal bronchogenic cyst with fluid-fluid level: a case report and literature review[J]. Exp Ther Med, 2023, 25(1): 5.
[11]
Fourati K, Tlili A, Masmoudi A, et al. Primary retroperitoneal hydatid cyst with intraperitoneal rupture: a case report[J]. J Med Case Rep, 2022, 16(1): 202.
[12]
Hegazi TM, Al-Sharydah AM, Lee KS, et al. Retroperitoneal cystic masses: magnetic resonance imaging features[J]. Abdom Radiol (NY), 2020, 45(2): 499-511.
[13]
宋殿宾, 张晶晶, 迟强, 等. 肾上腺肠源性囊肿一例报告[J]. 中华泌尿外科杂志, 2020, 41(9): 705-706.
[14]
吴俊, 王一行, 徐秀民, 等. 经腹腔入路腹腔镜切除腹膜后肠源性囊肿1例报告[J]. 腹腔镜外科杂志, 2022, 27(10): 799-800.
[15]
马小睦, 肖剑春, 谢勇, 等. 腹膜后囊性病变65例临床特征及病理分析[J]. 中华普通外科学文献(电子版), 2021, 15(3): 203-206.
[16]
Jan H, Kapoor T, Ghai V. A stepwise approach to laparoscopic enucleation and excision of retroperitoneal cysts[J]. J Minim Invasive Gynecol, 2019, 26(2): 367-368.
[17]
Fan G, Li K, Wang Y, et al. Efficacy and safety of robot-assisted laparoscopic, laparoscopic and open surgery in ureteral reimplantation: a network meta-analysis and systematic review[J]. Updates Surg, 2022, 74(5): 1491-1499.
[18]
Li H, Xu J, Feng Q, et al. Case report: the safety of laparoscopic surgery for the retroperitoneal bronchogenic cyst[J]. Front Oncol, 2022, 12: 1011076.
[19]
Sato M, Kaiho Y, Kawamorita N, et al. Retroperitoneal laparoscopic approach to ureteral primary and reoperative ureteral reconstructive surgery: a case series[J]. J Endourol, 2021, 35(6): 828-834.
[20]
Wang Y, Chen C, Zhang C, et al. Extraperitoneal laparoscopic resection for retroperitoneal lymphatic cysts: initial experience[J]. BMC Urol, 2017, 17(1): 101.
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