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腹腔镜手术治疗肾上腺外嗜铬细胞瘤8例临床分析

Laparoscopic surgery for extra-adrenal pheochromocytoma
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摘要 目的:探讨腹腔镜手术治疗肾上腺外嗜铬细胞瘤的有效性和安全性.方法:采用腹腔镜手术治疗肾上腺外嗜铬细胞瘤患者8例,其中经腹腔的腹腔镜手术治疗3例,经后腹腔镜手术治疗5例.结果:手术均获得成功,手术时间104±37(65~185)min,出血量95.4±76.3(20~250)ml,术后住院时间5.1±1.7(3~8)d,无明显并发症.结论:腹腔镜手术治疗肾上腺外嗜铬细胞瘤并不增加手术的危险性,可作为治疗肾上腺外嗜铬细胞瘤的方法之一. Objective:To evaluate the therapeutic effect and feasibility of laparoscopic excision of extra-adrenal pheochromocytoma. Methods: Peritoneal laparoscopic excision of extra-adrenal pheochromocytoma was performed on 3 patients, including 1 with bilateral extra-adrenal pheochromocytoma, 1 with multiple exra-adrenal pheochro- mocytoma. Retroperitoneal laparoscopic excision of extra-adrenal pheochromocytoma was performed on 5 patients. Results: Laparoscopic resection of extra-adrenal pheochromocytoma was successful in all patients. Laparoscopic operative time and blood loss were 104±37 minutes (range 65 to 185 ) and 95.4±76.3 ml (range 20 to 250 ). None of the patients had a hypertensive crisis intraoperatively, and all had unremarkable postoperative recovery with an average hospital stay of 5.1days(range 3 to 8). Plasma and/or urinary norepinephrine and normetanephrine levels returned to normal range postoperatively in all cases. Conclusions: Laparoscopic surgery can be safely performed in patients with extra-adrenal pheochromocytomas with minimal morbidity. It can be considered the preferred choice for extra-adrenal pheochromocytoma.
出处 《临床泌尿外科杂志》 2005年第12期719-720,722,共3页 Journal of Clinical Urology
关键词 腹腔镜术 嗜铬细胞瘤 肾上腺外 外科治疗 Laparoscopy Pheochromocytoma Extra-adrenal Surgical treatment
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