后腹腔镜手术治疗巨大静止型嗜铬细胞瘤的临床研究

Preliminary study on retroperitoneal laparoscopic surgery for great static pheochromocytoma

目的探讨腹膜后腹腔镜手术治疗巨大静止型嗜铬细胞瘤的临床疗效。方法总结分析2008年至2011年该院施行腹膜后腹腔镜手术治疗静止型嗜铬细胞瘤4例患者的临床资料。结果 4例手术全部成功,无中转开放手术,手术时间40～120 min(平均54 min),术中出血量50～150 mL(平均100 mL),术中均未输血;术后1～2 d恢复饮食,并可下地活动;术后1～4 d拔除引流管。术后住院时间7～10 d(平均9 d)。病理检查报告均为嗜铬细胞瘤。随访3月～3年,肿瘤局部无复发。结论在手术操作熟练、技术成熟的前提下,后腹腔镜手术切除静止型肾上腺嗜铬细胞瘤是安全可行的。

Objective To evaluate the clinical effect of retroperitoneal laparoseopic surgery for great static pheochromocytoma. Methods Clinical data of 4 patient of great static pheochromoeytoma treated by retroperitoneal laparoscopie surgery in our hospital from 2008 to 2011 were summarized and analyzed retrospectively. Results All of the 4 operations were sueeessful, without conversion to open surgery. The average operation time was 54 rain（40 - 120 rain）, and the mean amount of bleeding was 100 ml（50 - 150 m/） ,with no need of transfusion. The time of recovering postoperative diet was 1 -2 days. The drainage catheterwas removed 1 -4 days, and the average hospital stay after operation was 9 days （7 - 10 d）. Pathological examination of 4 cases revealed pheochromocytoma. All cases received 1 - 3 years of follow-up, and no reoccurrences was discovered. Conclusions Under the prerequisite condition of the mature of operation techniques, retroperitoneal laparoscopic surgery is safe and practicable for great static pheochromocy- toma.