达芬奇机器人手术治疗复杂肾上腺嗜铬细胞瘤的临床疗效分析  

Clinical study of robotic management of complex pheochromocytoma

作　　者：朱照伟[1] 屈武功 朱阿丽[1] 王声政[1] 陶金[1] 范雅峰 张雪培[1] Zhu Zhaowei;Qu Wugong;Zhu Ali;Wang Shengzheng;Tao Jin;Fan Yafeng;Zhang Xuepei(Department of Urology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院泌尿外科,450052

出　　处：《中华内分泌外科杂志》2020年第3期204-207,共4页Chinese Journal of Endocrine Surgery

基　　金：国家自然科学基金(81702503)。

摘　　要：目的探讨达芬奇机器人手术治疗复杂肾上腺嗜铬细胞瘤的可行性及疗效。方法2016年5月至2018年9月采用达芬奇机器人手术治疗复杂肾上腺嗜铬细胞瘤患者12例,男4例,女8例。年龄平均44岁,范围21~66岁。肿瘤位于右侧7例,左侧2例,双侧3例。肿瘤最大径平均7.8 cm,范围2.5~16.0 cm。所有手术均经腹腔途径完成。3例患者行一期双侧肾上腺嗜铬细胞瘤切除术。结果所有手术均获成功,无中转开放病例。手术时间平均108min,范围50~195min;术中出血量平均105 ml,范围20~400 ml;术后引流管留置时间平均4 d,范围3~5 d;术后住院时间平均8.5 d,范围5~23 d。术后病理诊断均为嗜铬细胞瘤。术后随访5~35个月,均未见肿瘤复发或转移。结论对于复杂肾上腺嗜铬细胞瘤,采用达芬奇机器人能安全高效地完成手术,具有出血少和术后住院时间短等优点。Objective To report our technique and outcomes of robotic management of complex pheochromocytoma.Methods Twelve patients with complex pheochromocytoma underwent robot-assisted surgery from May.2016 to Sep.2018.Four patients were male and eight patients were female.The mean patient age was 44(range,21-66)years.There were seven right adrenal tumors,two left adrenal tumors and three bilateral tumors.The mean tumor size was 7.8(range,2.5-16.0)cm.All surgeries were performed by transperitoneal approach.Three patients underwent synchronous surgery for bilateral pheochromocytoma.Results All procedures were performed successfully without conversion to open surgery.The mean operative time was 108(range,50-195)min and mean blood loss was 105(range,20-400)ml.The average postoperative indwelling time of drainage tube was four(range,3-5)days.The mean postoperative hospital stay was 8.5(range,5-23)days.Histopathologic examination of specimen revealed pheochromocytoma arising from adrenal gland.There were no recurrences or metastatic events during the follow-up of 5 to 35 months.Conclusion Robotic assisted surgery is safe and effective for management of complex pheochromocytoma and provides significant advantages with regard to less blood loss and shorter postoperative hospital stay.

关 键 词：机器人 肾上腺切除术 嗜铬细胞瘤 

分 类 号：R73[医药卫生—肿瘤] [医药卫生—临床医学] R256.5