胸腹联合切口治疗左侧肾上腺混合性嗜铬细胞瘤合并严重脊柱畸形一例报告

Thoracoabdominal combined incision treating left adrenal composite pheochromocytoma with severely malformed spine:a case report

肾上腺混合性嗜铬细胞瘤临床罕见,在临床工作中难以与肾上腺皮质病变相鉴别。若合并严重脊柱畸形,常规的手术方式及切口将难以实现术野的充分暴露。本文报告1例左侧肾上腺混合性嗜铬细胞瘤合并严重脊柱畸形患者,选择经第10肋间胸腹联合切口进行手术,以便充分显露左侧肾上腺及周围器官的手术野,术中首先控制肾上腺中央静脉及肿瘤周围滋养血管,再切除肿瘤。术后随访8个月,一般情况良好,无局部复发及转移。

Adrenal composite pheochromocytoma is rare in clinically.It is difficult to differentiate it from adrenal cortical disease in clinical practice.If a pheochromocytoma patient had a severely deformed spine,the conventional surgical approach and incision will be difficult to achieve full exposure of the surgical field of view.A patient with left adrenal composite pheochromocytoma and severely malformed spine was reported.In order to fully expose the left adrenal gland and it′s surrounding organs,the thoracoabdominal combined incision was selected.The central adrenal vein and peritumor trophoblast vessels were controlled before tumor resection.The patient were followed up for 8 months after operation,and the general condition was good,without local recurrence or metastasis.