单孔后腹腔镜下肾上腺嗜铬细胞瘤切除术的体会并文献复习

目的:探讨单孔后腹腔镜行肾上腺嗜铬细胞瘤切除术的体会并结合文献复习。方法:患者,男,15岁,考虑右侧肾上腺嗜铬细胞瘤。行降压和扩容治疗近3周至血压平稳后于2011年11月15日在单孔后腹腔镜行右肾上腺嗜铬细胞瘤切除。结果:手术过程顺利,术中、术后出现明显血压波动,经调整药物治疗后稳定。手术时间165分钟,术中出血少,术后6天顺利出院,病理确诊嗜铬细胞瘤。结论:单孔后腹腔镜下切除肾上腺嗜铬细胞瘤是一种新的手术方式,有一定的优势,如美观,创伤小,患者恢复快。随着技术日趋成熟,术前准备充分,该术式在嗜铬细胞瘤治疗方面安全可行。

Objectives：To explore the experience of retropertoneoscopic single - site adrenalectomy for pheochromocytoma. Methods：One patient with pheochromocytoma underwent retropertoneoscopic single - site adrenalectomy on Nov 15 2011. Results ： The operation was successful, though acute fluctuation of blood pressure occurred intranperatively and postoperatively which could be controlled by drugs. The operation was performed for 165rain, when the intranperative blood loss could be overleaped, and receiving no blood transfusion. The patient stayed in the hospital for 6 days postoperatively. Conclusions ： Laparoendoscopic single - site surgery retropertoneoscopic adrenalectony for pheochromocytoma is one of safe and effective means with advantages of less trauma and less blood loss.