后腹腔镜手术治疗老年嗜铬细胞瘤临床分析(附12例报告)

Clinical research of retroperitoneal laparoscopy in the treatment of pheochromocytoma in the aged (report of 12 cases)

目的探讨后腹腔镜下手术治疗老年肾上腺嗜铬细胞瘤的临床应用价值。方法 12例老年肾上腺嗜铬细胞瘤患者,先经个体化围手术期准备后,再行后腹腔镜手术治疗,然后观察其治疗效果和安全性。结果 12例患者肿瘤均被完整切除,术后经病理确诊为肾上腺嗜铬细胞瘤。手术过程顺利,手术时间50-180min,平均100min;无术中输血,术中出血量45-300ml;肿瘤直径23-52mm,平均36mm;患者住院时间10-18d,平均14d。所有患者术后血压均降至正常范围,无严重并发症发生。术后随访3个月-3年,患者肿瘤无复发,血压正常。结论后腹腔镜下手术治疗老年肾上腺嗜铬细胞瘤安全性高、疗效确切、患者痛苦小且术后恢复快。

Objective To explore the clinical application value of retroperitoneal laparoscopic surgery for the old patients with pheochromocytoma. Methods Retroperitoneal laparoscopic surgery was performed after perioperative preparation in 12 old patients with pheochromocytoma.After the operation,we evaluated its safety and effectiveness. Results All the tumors were completely removed,and were diagnosed postoperatively as adrenal pheochromocytoma by pathology,all operations were performed safely,operation time was 50-180 min,with the average of 100 min,with no intraoperative blood transfusion,blood loss was 45-300 ml,tumor diameter was 23-52 mm,with the average of 36 mm.Hospitalization time was 10-18 d,with the average of 14 d.Blood pressure in all patients were stable in the normal range,and no undesirable complications occurred.All the patients had been followed up for 3months to 3years,with normal blood pressure and no tumor recurrence. ConclusionsRetroperitoneal laparoscopic surgery is safe and effective to treat adrenal pheochromocytoma in old patients.