机器人辅助儿童嗜铬细胞瘤切除术麻醉管理一例报道  

Anesthesia management in robot-assisted excision of pheochromocytoma for a child:a case report

作　　者：陈余 吕洁 杨剑 廖雕 CHEN Yu;LYU Jie;YANG Jian;LIAO Diao(College of Anesthesiology,Guizhou Medical University,Guiyang 550004,China;Department of Anesthesiology,Affiliated Hospital of Guizhou Medical University,Guiyang 550004,China;Operating Room,Affiliated Hospital of Guizhou Medical University,Guiyang 550004,China)

机构地区：[1]贵州医科大学麻醉学院,贵州贵阳550004 [2]贵州医科大学附属医院麻醉科,贵州贵阳550004 [3]贵州医科大学附属医院手术室,贵州贵阳550004

出　　处：《机器人外科学杂志（中英文）》2023年第6期612-615,共4页Chinese Journal of Robotic Surgery

摘　　要：嗜铬细胞瘤是分泌儿茶酚胺的神经内分泌肿瘤,儿童嗜铬细胞瘤尤为少见。肿瘤分泌的大量儿茶酚胺类物质可引起严重的血流动力学紊乱,对心脏及全身循环系统会造成重大危害,其麻醉风险常超过手术风险。儿童嗜铬细胞瘤围手术期血流学管理是难点,目前没有麻醉管理指南,因此只能通过病例报道不断积累该类疾病的麻醉经验。本研究报道1例机器人辅助儿童嗜铬细胞瘤切除术患者采用Flotrac/Vigileo系统监测血流动力学的麻醉管理经验。Pheochromocytoma is a kind of neuroendocrine tumor that originated from chromaffin cells of the adrenal medulla,which is very rare in children.It could secrete a large number of catecholamines,including epinephrine,norepinephrine and dopamine,which could cause severe hemodynamic disorder and affect heart and circulatory system badly.Perioperative blood management is very important in children with pheochromocytoma.There is no anesthesia management guideline for pheochromocytoma surgery for now,thus accumulation of related anesthesia experience is very important.A case of robot-assisted excision of pheochromocytoma for a child monitored by Flotrac/Vigileo system was reported in this paper.

关 键 词：机器人辅助手术 嗜铬细胞瘤 儿童 麻醉 

分 类 号：R608[医药卫生—外科学] R737[医药卫生—临床医学] R493