胸腹联合切口治疗右侧巨大肾上腺嗜铬细胞瘤8例报告

Abdominothoracic incision in the surgical treatment of right adrenal large pheochromocytoma:a report of 8 cases

目的探讨治疗巨大嗜铬细胞瘤的手术方法和技巧。方法对郑州大学第一附属医院2005年1月至2009年12月收治的8例右侧肾上腺巨大肿瘤病人采用胸腹联合切口手术切除。结果 8例肿瘤均完整切除,平均手术时间165min,平均术中出血量550mL,无严重并发症。病理报告嗜铬细胞瘤良性6例,恶性倾向2例。结论第8肋间胸腹联合切口治疗右侧巨大肾上腺嗜铬细胞瘤暴露清晰,肿瘤切除完整,手术安全性好。

Objective To investigate the operative method and technique for the management of large pheochromocytoma. Methods A total of 8 eases of right adrenal large pheochrumoeytoma were performed operalinn through the abduminothoraeie incision from January 2005 to December 2009 in the First Affiliated Hospital of Zhengzhou University. Results All of the adrenal masses were reseeted completely with the mean operating interval of 165 rain and the mean bleeding volume of 550 ml, and no severe complication occurred. Six cases were benign phenchromoeytoma and 2 were malignant. Conclusion The 8th-rib abdominothoracie incision has a good exposure t^r the removal of right adrenal large pheoehromoeytumas. The tumors couht be resected integratedly and satbly.