腹腔镜手术治疗小儿嗜铬细胞瘤8例

Laparoscopic Surgery for Pheochromocytoma in Children:a Clinical Analysis of 8 Cases

目的探讨腹腔镜手术治疗小儿嗜铬细胞瘤的可行性。方法2012年3月~2019年3月对8例嗜铬细胞瘤术前常规降压,待血压下降正常并稳定后实施腹腔镜手术,术中沿肾上极和肾上腺交界处开始分离,结扎处理支配血管,钝锐分离完整切除肾上腺肿瘤。结果均在腹腔镜下顺利完成手术,手术时间55~100 min,平均75 min。术中出血量20~40 ml,平均30 ml。术后病理均为嗜铬细胞瘤。8例随访6~12个月,平均8个月,腹部B超检查无肿瘤复发,恢复良好。结论腹腔镜手术治疗小儿嗜铬细胞瘤可行,创伤小,易于操作,术后恢复快。

Objective To investigate laparoscopic surgery for pheochromocytoma in children.Methods From March 2012 to March 2019,8 cases of pheochromocytoma were given conventional hypotension before operation.After the blood pressure dropped to normal and was stable,laparoscopic operation was carried out.During the operation,separation was started along the junction between the upper pole of kidney and adrenal gland.The dominating vessels were ligated and the adrenal tumor was completely removed with blunt and sharp seperation.Results All the patients underwent operation successfully.The operation time was 55-100 min(mean,75 min),and the intraoperative blood loss was 20-40 ml(mean,30 ml).Postoperative pathology confirmed pheochromocytoma.All the 8 patients were followed up for 6-12 months(mean,8 months).Abdominal ultrasound examination found no tumor recurrence and good recovery.Conclusion Laparoscopic surgery for pheochromocytoma in children is feasible,owing to its minimal invasion,easy operation,and rapid recovery.