腹腔镜手术治疗肾上腺嗜铬细胞瘤  

Laparoscopic surgery for adrenal pheochromocytoma

作　　者：黄东龙[1] 白忠原[1] 刘红艳[1] 

机构地区：[1]深圳暨南大学附属第二医院广东省深圳市人民医院泌尿外科,广东518020

出　　处：《国际泌尿系统杂志》2009年第2期175-176,共2页International Journal of Urology and Nephrology

摘　　要：目的评价腹腔镜手术治疗肾上腺嗜铬细胞瘤的安全性及临床价值。方法对25例肾上腺嗜铬细胞瘤患者采用腹腔镜经腹腔途径手术治疗。结果25例全部成功，无1例中转开放手术，无严重并发症发生。肿瘤最大径1．5～10．8cm，平均4．8cm；手术时间45～130min，平均70min；术中出血量30～180ml，平均65ml，均未输血；术后住院4-7天，平均6．1天；术后病理检查证实均为肾上腺嗜铬细胞瘤。全部病例获得随访6～72个月，患者血压正常，B超或CT复查均未见肿瘤复发。结论腹腔镜手术治疗肾上腺嗜铬细胞瘤具有手术时间短、出血少、损伤小、恢复快、安全性高、并发症少等优点，可替代开放手术。Objectives To evaluate the safety and application of laparoscopic surgery for adrenal pheochro- mocytoma. Methods Clinical records of 25 cases of laparoscopic adrenalectomy of pheochromocytom. Results Laparoscopic adrenalectomy were performed successfully all the cases with pheochromocytoma. No patient required conversion to open surgery. The largest dimension of the tumor was 1.5 - 10.8 （ mean 4.8 ） cm. The operative time was 45 - 130 （ mean 70） min. The volume of blood loss was 30 - 180（ mean 65 ） ml with no blood transfusion. The postoperative hospital stay was 4 - 7 （ mean 6.1 ） days. Pathological examination revealed adrenal phecchromocytoma in all cases. All cases were followed up for 6-72 （mean10） months. In all patients blood pressures were normal and no residual tumors were found by B - ultrasonography or CT scans after laparoscopic surgery. Conclusions Lap- aroscopie surgery for pheechromecytoma is feasible and safe, without increasing the operation risks. Because of its less traumatic and more rapid recovery, laparoscopic adrenalectomy can be considered the preferred choice for pheo-chremocytoma.

关 键 词：肾盂 输尿管梗阻 外科手术 腹腔镜 

分 类 号：R736.6[医药卫生—肿瘤]