目的探讨后腹腔镜在肾上腺嗜铬细胞瘤切除术的适应证和技术方法。方法回顾性分析该院收治的6例肾上腺嗜铬细胞瘤患者的临床资料,患者均接受后腹腔镜下肿瘤切除术治疗。结果6例后腹腔镜下肾上腺嗜铬细胞瘤手术均成功,术后恢复良好,平均手术时间112 min,平均出血量120 mL,术中平均补液量4 660 mL。2~4 d拔除引流管,术后平均住院时间 10 d。无明显外科并发症,术后病理检查均证实为嗜铬细胞瘤。结论对肾上腺嗜铬细胞瘤的正确诊断、充分的术前准备和术者娴熟的操作技巧,可以明显降低手术并发症。
ObjectiveTo explore the indications and surgical methods of retroperitoneal laparoscopes in the operation of adrenal pheochromocytoma. MethodsThe clinical data of 6 cases with adrenal pheochromocytoma in our hospital were analyzed retrospectively, both patients received tumor resections under retroperitoneal laparoscopes. ResultsBoth the operations of adrenal pheochromocytoma resection were successful; and patients recovered well after surgery, the average operation time was 112 minutes, the mean volume of blood loss was 120 mL, the mean intraoperative fluid volume was 4660 mL. The postoperative drainage tubes were removed after two to four days,the mean postoperative hospital stay was 10d. There was no surgical complications, the postoperative pathologic examination confirmed pheochromocytoma. ConclusionCorrect diagnosis of adrenal pheochromocytoma, adequate preoperative preparation and skilled operative techniques can significantly reduce the complications of retroperitoneal laparoscope adrenal pheochromocytoma resection.