后腹腔镜手术治疗肾上腺嗜铬细胞瘤

Retroperitoneal laparoscoplic surgery for pheochromocytoma

目的探讨经后腹腔镜入路手术治疗肾上腺嗜铬细胞瘤的适应证、手术方法及手术安全性。方法采用后腹腔镜手术治疗肾上腺嗜铬细胞瘤患者11例。结果经后腹腔镜入路治疗肾上腺嗜铬细胞瘤患者11例,10例为单纯腹腔镜下完成,肿瘤最大直径1.5～6.0cm。其中1例因瘤体过大(直径7.5cm)行手助腹腔镜手术(HALS)完成。无中转开放。手术时间35～120min,出血量10～100ml,术后住院时间5～8d。结果对于腹腔镜手术经验丰富者,后腹腔镜手术具有手术危险性小、时间短、出血少、创伤小、恢复快等优点。有望成为治疗肾上腺嗜铬细胞瘤的首选方法。

Objective To evaluate the indications, surgery methods and feasibility of retroperitoneal laparoscopic excision of pheochromocytoma. Methods Retroperitoneal laparoscoplic excision of pheochromocytoma was performed on 11 patients. Results All 11 patients were received Retroperitoneal laparoscoplic sur- gery for pheochromocytoma, success was achieved in 10 case, the size of the tumor ranged from 1.5 to 6. 0 cm. Only 1 case was treated with hand-assist caparoscopic adrenletomy duet to the dimension of the tumor was too large, which is 7.5 cm. There was no case transfer to open surgery. Operation time was 35 - 120 mins, the volume of blood loss was 10 - 100 ml, post-operative hospital stay was 5 - 8 d. Conclusions Based upon the experience and skills of the surgeons, retroperitoneal laparoscoplic surgery has many advantages, like its feasible, safe, short operation time, less traumatic and rapid recovery. It can be considered the preferred choice for pheochromocytoma.