摘要
目的:探讨经第10肋胸腰联合切口切除肾上腺巨大嗜铬细胞瘤的可行性。方法:采用经第10肋胸腰联合切口切除右肾上腺巨大嗜铬细胞瘤1例。手术用时330min,术中出血约800ml。术中暴露满意,分离肿瘤过程血压波动较小,术后恢复快。结果:术后随访3.5年,患者血压恢复正常,肿瘤无复发,无心肺并发症,无代谢紊乱。结论:经第10肋胸腰联合切口可提供满意的术野暴露,用于切除肾上腺巨大嗜铬细胞瘤安全有效。
Objective： To evaluate the feasibility of the resection of enormous pheochromocytoma by 10th-rib thoracolumbar incision. Methods： In September 2003, 1 patient underwent the surgical treatment of enormous pheochromocytoma by 10th-rib thoracolumbar incision. The operation time was 330 min, and the amount of bleed- ing was about 800 ml. Exposure was excellent, and the control of blood pressure was satisfying during the operation. Results：The patient healed without complications with follow-up for 3. 5 years. Conclusions：With many potential advantages to this incision （especially the safer operation with the excellent exposure）, we consider the 10th-rib thoracolumbar incision to be the suitable pathway for removal of enormous pheochromocytoma.
出处
《临床泌尿外科杂志》
2007年第10期747-748,共2页
Journal of Clinical Urology
关键词
肾上腺肿瘤
嗜铬细胞瘤
胸腰联合切口
Adrenal neoplasms
Pheochromocytoma
Thoracolumbar incision
