经肾表层面机器人辅助腹腔镜在大体积嗜铬细胞瘤切除术中的临床应用  

Robot-assisted retroperitoneal laparoscopic resection of large pheochromocytoma via renal surface

作　　者：马涛[1] 崔振宇[1] 宋士超[1] 索勇[1] 郭景阳[1] 杨文增[1] MA Tao;CUI Zhenyu;SONG Shichao;SUO Yong;GUO Jingyang;YANG Wenzeng(Department of Urology,Affiliated Hospital of Hebei University,Baoding 071000,China)

机构地区：[1]河北大学附属医院泌尿外科,河北保定071000

出　　处：《机器人外科学杂志（中英文）》2023年第1期42-47,共6页Chinese Journal of Robotic Surgery

基　　金：河北省保定市科技计划项目(2041ZF164)。

摘　　要：目的:探讨经肾表层面机器人辅助腹腔镜手术治疗较大体积嗜铬细胞瘤的临床应用。方法:回顾性分析河北大学附属医院泌尿外科于2020年5月—2021年8月收治的31例嗜铬细胞瘤患者的临床资料,其中男性16例,女性15例,年龄(35.6±16.1)岁;肿瘤直径(62.4±29.5)mm,左侧17例,右侧14例。所有患者采用经肾表层面入路解剖性切除手术方式,机器人辅助经后腹腔途径行嗜铬细胞瘤切除术。观察手术时间、出血量、术后并发症、引流管保留时间及术后随访。结果:31例手术均获成功,平均手术时间(71.0±21.0)min,出血量(80.0±21.5)ml,引流管保留时间(1.5±0.6)d,无明显术后并发症。术后病理均证实为嗜铬细胞瘤。术后随访1~15个月,均未见肿瘤复发。结论:机器人辅助腹腔镜经后腹腔肾表层面大体积嗜铬细胞瘤解剖性切除在手术过程中可获得较大操作空间,“脂肪裂”解剖标志清晰,出血少,创伤小,术中和术后并发症少,学习曲线较短,可在临床推广。Objective:To investigate the clinical application of robot-assisted laparoscopic surgery via renal surface in the treatment of large pheochromocytoma.Methods:The clinical data of 31 patients with pheochromocytoma treated in the Department of Urology of the Affiliated Hospital of Hebei University from May 2020 to August 2021 were retrospectively analyzed.There were 16 males and 15 females,aged(35.6±16.1)years.The diameter of tumors was(62.4±29.5)mm,of which 17 cases on the left and 14 cases on the right.All patients underwent anatomical resection via the renal surface,and robot-assisted retroperitoneal resection of pheochromocytoma was performed.The operative time,amount of blood loss,postoperative complications,retention time of drainage tube and postoperative follow-up were observed.Results:All surgeries were successfully completed,with the average operative time of(71.0±21.0)min,bleeding volume of(80.0±21.5)ml and drainage tube retention time of(1.5±0.6)d respectively.No obvious postoperative complications were found.All patients were confirmed as pheochromocytoma by postoperative pathology.No tumor recurrence was found in follow-up 1 to 15 months after surgery.Conclusion:Robot-assisted retroperitoneal laparoscopic resection of large pheochromocytoma via renal surface could achieve a large operation space,clear anatomic landmark of fat crack,as well as less bleeding,smaller trauma,less intraoperative and postoperative complications,shorter learning curve,which is worthy of promotion in clinical practice.

关 键 词：机器人辅助手术 腹腔镜手术 嗜铬细胞瘤 

分 类 号：R736.6[医药卫生—肿瘤] R699.3[医药卫生—临床医学]