经腹腹腔镜肾上腺嗜铬细胞瘤切除术(附17例报告)  

Laparoscopic adrenalectomy for pheochromocytoma with 17cases

作　　者：胡波[1] 金讯波[1] 孟慧林[1] 王绪雷[1] 王翰博[1] 陈辑[1] 

机构地区：[1]山东大学附属省立医院泌尿微创医学中心,山东济南250021

出　　处：《泌尿外科杂志（电子版）》2013年第1期31-33,共3页Journal of Urology for Clinicians(Electronic Version)

摘　　要：目的观察经腹腹腔镜肾上腺嗜铬细胞瘤切除术治疗肾上腺嗜铬细胞瘤的疗效。方法用经腹腹腔镜手术治疗肾上腺嗜铬细胞瘤1 7例。结果 16例均手术均成功。其余1例因大出血转开放手术,手术时间40~150分钟(平均1 00分钟),术中出血量30~320m1(平均1 30m1)。住院时间范围7~1 2天(平均8天),随访5~30个月(平均16个月),除1例需口服降压药外,血压均恢复正常,B超复查无肿瘤残留和复发。结论经腹腔腹腔镜肾上腺嗜铬细胞瘤切除术术中解剖标志清楚,手术安全性高,效果满意,可作为肾上腺嗜铬细胞瘤首选治疗方法。Ojective To evaluate the safety and feasibility of troperitoneal laparoscopic adrenalectomy for pheochromocytoma.Method Clinical records of 17 cases of pheochromocytoma undergoing troperitoneal laparoscopic adrenalectomy were reviewed.Results Success Was achieved in 16 cases.while in the other one,the procedure Was transferred to open surgery because of bleeding.The operating time ranged from40-150 min(mean of 100 min).Mean blood loss Was 130ml(30—320ml).Average postoperative hospital stay was8 days(range of7-12 days).The cases were followed up for 5~30 months(mean of 16 months),all of patients had normal blood pressure and no recurrent tumor developed.Conclusion Troperitoneal laparoseopie adrenalectomy for pheochromocytoma is a feasible procedure which offers advantages of minimal invasion,short operation time,less blood loss,quick postoperative recovery,fewer complications,and has a promising future.

关 键 词：腹腔镜 肾上腺肿瘤 嗜铬细胞瘤 

分 类 号：R736.6[医药卫生—肿瘤]