嗜铬细胞瘤手术切口的选择(附103例报告)

Surgical incision of the pheochromocytoma

目的 :提高嗜铬细胞瘤手术治疗水平。方法 :回顾性分析 10 3例嗜铬细胞瘤患者手术切口的选择方法及选取原则。结果 :49例行 11肋间切口 ,18例行 10肋间切口 ,15例行腹部正中切口 ,9例行胸腹联合切口 ,5例行腹部肋下切口 ,3例行下腹正中切口 ,3例行后外侧切口 ,1例行腹腔镜手术。结论 :1大部分肾上腺嗜铬细胞瘤宜用 11肋间切口或 10肋间切口。 2巨大嗜铬细胞瘤或与大血管关系紧密的嗜铬细胞瘤宜用腹部正中切口 ,甚至胸腹联合切口。

Purpose:To evaluate the surgical method of pheochromocytoma.Methods:Data of 103 cases of patients with pheochromocytoma was reviewed retrospectively.Results:The operation of 49 patients with Pheochromocytoma were performed by the 11 th rib intercostal incision, 18 cases by the 10th rib intercostal incision, 15 cases by transrectus incision, 9 cases by abdominothoracic incision, 5 cases by abdominal subcostal oblique, 3 cases by inferior abdominal incision, 3 cases by posterolateral incision. 1 patient received the laparoscopic surgery.Conclusions:① Most surgical pathway of the pheochromocytoma in adrenal can be performed by the 11th rib intercostal incision of the 10th rib intercostal incision.②The suitable pathways for the giant pheochromocytoma adhering to big vessels are transrectus incision or abdominothoracic incision.③ For the mutiple masses of extra adrenal pheochromocytoma, the middle abdominal incision may be the choice.