腹腔镜腹腔入路嗜铬细胞瘤切除

Treatment of Pheochromocytoma with Transperitoneal Laparoscopic Surgery

目的回顾分析腹腔镜腹腔入路肾上腺嗜铬细胞瘤切除的经验,探讨腹腔镜腹腔入路切除嗜铬细胞瘤的效果。方法22例患者中男9例,女13例,年龄42岁(18-67岁),双侧3例。所有患者均行腹腔入路肾上腺手术。对手术方法、临床效果进行分析。结果手术时间60-240m in,平均90m in,术中失血量20-150m l,平均80m l,无需输血者。中转开放手术1例(4.5%),其余手术均成功,无血管及胃肠道并发症。患者术后第1d下床活动,术后平均住院时间7d(6-9d)。结论腹腔镜肾上腺嗜铬细胞瘤切除术适用于直径<6 cm的肾上腺嗜铬细胞瘤,具有安全、微创、出血少、恢复快等优点。

Objective To improve the clinical techniques of transperitoneal adrenal surgery, to evaluate transperitoneal laparoscopic adrenalectomy for pheochromocytoma. Methods 22 cases with male 9 and female 13 and their average age 42 years （ 18 - 67 years） underwent transperitoneal adrenal surgery. The clinic data, operating methods and outcomes were closely analized. Results The operating time ranged from 60 to 240 minutes （mean 90 minutes ）. Mean blood loss was 80 ml （20 150 ml）,none of the patients required transfusion, one patients （4.5%） transferred to open surgery. There was no intraoperative or postoperative vascular and gastrointestinal complications. The mean hospital stay was 7 days （6 - 9days）. Conclusion Transperitoneal laparoscopic adrenalectomy can be safely performed for pheochromocytoma （less than 6 cm diamater）.