48例后腹腔镜手术治疗肾上腺嗜铬细胞瘤的临床研究  

Retroperitoneal laparoscopic surgery for adrenal pheochromocytoma:a report of 48 cases

作　　者：黄杰[1] 余闫宏[1] 张德清[1] 徐万超[1] 杨敏[1] 邹岷[1] 肖民辉[1] 

机构地区：[1]云南省第一人民医院泌尿外科,昆明650032

出　　处：《重庆医学》2015年第21期2933-2934,共2页Chongqing medicine

摘　　要：目的探讨后腹腔镜手术治疗肾上腺嗜铬细胞瘤的手术方法及疗效。方法 48例肾上腺嗜铬细胞瘤均行后腹腔镜手术治疗,肿瘤直径3.0~9.0cm,分为A组（〈6cm）36例,B组（≥6cm）12例,比较两组术中资料。结果 48例手术均成功完成,病理检查均为肾上腺嗜铬细胞瘤。两组比较手术时间、术中血压波动,差异有统计学意义（P〈0.05）,而术中出血量差异无统计学意义（P〉0.05）。结论后腹腔镜手术治疗较大肾上腺嗜铬细胞瘤是可行的。Objective To evaluate the operation method and clinical efficacy of retroperitoneal adrenalectomy in the treatment of pheochromocytoma. Methods Retroperitoneal laparoscopic surgery was performed in 48 patients with adrenal pheochromocyto- ma,the tumor diameter range was between 3.0cm 9.0cm, and groups were divided into two groups according to the tumor diame- ter. Results Laparoscopic procedures were succeed in 48 cases,and all cases were pathologically diagnosed as pheochromocytoma. There were statistically significant difference between two groups in the operation time, fluctuations of intraoperative blood pressure （P〈 0. 05）. There was no statistically significant difference between two groups in intraoperative blood loss （P 〈0. 05）. Conclusion Retroperitoneoscopic adrenalect0my is safe and feasible in the treatment of larger pheochromocytoma and could be de- veloped.

关 键 词：外科手术 肾上腺嗜铬细胞瘤 后腹膜腔腹腔镜 

分 类 号：R736.6[医药卫生—肿瘤] R669.3[医药卫生—临床医学]