Feasibility study of one-stage surgery of intracardiac leiomyomatosis through an abdominal approach
10.19538/j.cjps.issn1005-2208.2019.04.20
- Author:
Jing XU
1
;
Ying JIANG
1
;
Han-xing TONG
1
Author Information
1. Department of General Surgery,Zhongshan Hospital,Fudan University Shanghai 200032,China
- Publication Type:Journal Article
- Keywords:
intravenous leiomyomatosis;
cardiac tumor;
one-stage surgery;
surgical strategy;
abdominal approach
- From:
Chinese Journal of Practical Surgery
2019;39(04):370-373
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE: To investigate the feasibility of abdominal surgical resection of intracardiac leiomyomatosis.METHODS: The clinical data of 4 cases of intracardiac leiomyomatosis performed in zhongshan Hospital,Fudan University from December 2015 to August 2017 were analyzed retrospectively. RESULTS: Four patients underwent onestage surgery through an abdominal approach,without death. The operative time was 185-420(315.3 ± 86.4) min.Extracorporeal circulation time was 22-175(71.8±60.4)min and blood loss was 600-3000(1475.0±941.7)mL. Acute renal failure occurred in one of the patients after operation,the rest had no surgical complications. After 8-26 months of follow-up,there was no sign of recurrence and metastasis. CONCLUSION: One-stage surgery of intracardiac leiomyomatosis through an abdominal approach is feasible. But,how to determine the indications of surgery remains to be further explored and studied.
