后腹腔镜肾上腺嗜铬细胞瘤切除术的疗效评估

Effectiveness evaluation of retroperitoneal laparoscopic resection of adrenal gland pheochromocytoma

目的:探讨后腹腔镜肾上腺嗜铬细胞瘤切除术的有效性及安全性。方法:回顾分析2009年1月至2013年12月68例肾上腺嗜铬细胞瘤患者的临床资料,其中33例行开放肾上腺嗜铬细胞瘤切除术(开放组),35例行后腹腔镜肾上腺嗜铬细胞瘤切除术(后腹腔镜组),观察手术相关指标,包括术中是否出现血压剧烈波动、手术时间、术中出血量、引流量、拔除引流管时间、术后住院时间等。结果:68例手术均获成功,后腹腔镜组手术时间、出血量、引流管拔除时间及术中血压剧烈波动例数等明显优于开放组(P<0.05)。结论:后腹腔镜手术具有创伤小、患者痛苦少、康复快等优势,是治疗肾上腺嗜铬细胞瘤安全、有效的术式。

Objective：To investigate the efficacy and safety of retroperitoneal laparoscopic resection of adrenal gland pheochromocytoma. Methods：Retrospective analysis was made on the clinical data of 68 patients with adrenal pheochromocytoma from Jan. 2009 to Dec. 2013,33 cases underwent open resection of adrenal pheochromocytoma,35 cases underwent retroperitoneal laparoscopic resection of pheochromocytoma. The times of blood pressure sharp rising,operation time,blood loss,volume of drainage,time of drainage,postoperative hospital stay were compared between the two groups. Results：The operations were successfully completed in all 68 patients. The mean operation time,mean blood loss,mean time of drainage and the mean times of blood pressure sharp rising of retroperitoneal laparoscopy group were significantly better than those of open group（ P〈0. 05）. Conclusions：Retroperitoneal laparoscopy has the advantages such as the few trauma,little pain and fast recovery. Retroperitoneal laparoscopic resection of adrenal gland pheochromocytoma is a very safe and effective operation method.