后腹腔镜手术治疗巨大肾上腺嗜铬细胞瘤(附39例报告)  

Retroperitoneal laparoscopic treatment of enormous pheochromocytoma(Report of 39 cases)

作　　者：王保平 陈光富[2] 许勇[2] 陈玉成 毕金文 佟琦弘 

机构地区：[1]北京怀柔医院泌尿外科,北京101400 [2]中国人民解放军总医院泌尿外科

出　　处：《微创泌尿外科杂志》2014年第6期331-333,共3页Journal of Minimally Invasive Urology

摘　　要：目的:探讨后腹腔镜在巨大肾上腺嗜铬细胞瘤切除术中的临床应用价值。方法:总结2010年1月~2012年9月经手术和病理证实的直径大于6cm的39例巨大嗜铬细胞瘤的临床资料。结果:39例均在后腹腔镜下顺利完成手术。手术时间65~120min,平均75min;出血10~800ml,平均176ml。瘤体最大直径6~12cm,平均8.3cm。术后病理均为嗜铬细胞瘤,其中3例伴囊性变,2例局部呈浸润性生长。随访2~33个月,未见复发。结论:随着术者腹腔镜技术的提高,腹腔镜设备的改进,后腹腔镜手术可成为治疗肾上腺巨大嗜铬细胞瘤的首选方法。Objective:To evaluate retroperitoneal laparoscopic treatment of enormous pheochromocytoma.Methods:Thirty-nine patients with enormous pheochromocytomas exceeding 6cm in diameter treated surgically with pathological identification between Jan.2010 to Sept.2012 were reviewed retrospectively.Results:The procedure was successful in the 39 cases,and the operation time was 60-120 min with a mean of 75 min.There was no need for blood transfusion with blood loss ranging from 10 to 800mL.Pheochromocytomas were pathologically proved in all cases,including 3cases of cystic degeneration and 2cases of local invasive growth.All patients were followed up for2-33 months,and there was no recurrence.Conclusions:With improvement of the laparoscopic technique and the development of equipment,retroperitoneal laparoscopy can be considered as the first choice for enormous pheochromocytoma.

关 键 词：后腹腔镜术 嗜铬细胞瘤 

分 类 号：R736.6[医药卫生—肿瘤]