微创医学

目的探讨腹膜后腹腔镜手术治疗巨大静止型嗜铬细胞瘤的临床疗效。方法总结分析2008年至2011年该院施行腹膜后腹腔镜手术治疗静止型嗜铬细胞瘤4例患者的临床资料。结果 4例手术全部成功,无中转开放手术,手术时间40～120 min(平均54 min),术中出血量50～150 mL(平均100 mL),术中均未输血;术后1～2 d恢复饮食,并可下地活动;术后1～4 d拔除引流管。术后住院时间7～10 d(平均9 d)。病理检查报告均为嗜铬细胞瘤。随访3月～3年,肿瘤局部无复发。结论在手术操作熟练、技术成熟的前提下,后腹腔镜手术切除静止型肾上腺嗜铬细胞瘤是安全可行的。

Objective To evaluate the clinical effect of retroperitoneal laparoscopic surgery for great static pheochromocytoma． Methods Clinical data of 4 patient of great static pheochromocytoma treated by retroperitoneal laparoscopic surgery in our hospital from 2008 to 2011 were summarized and analyzed retrospectively． Results All of the 4 operations were successful，without conversion to open surgery． The average operation time was 54 min ( 40 － 120 min) ，and the mean amount of bleeding was 100 ml ( 50 － 150 ml) ，with no need of transfusion． The time of recovering postoperative diet was 1 － 2 days． The drainage catheterwas removed 1 － 4 days，and the average hospital stay after operation was 9 days ( 7 － 10 d) ． Pathological examination of 4 cases revealed pheochromocytoma． All cases received 1 ～ 3 years of follow-up， and no reoccurrences was discovered． Conclusions Under the prerequisite condition of the mature of operation techniques，retroperitoneal laparoscopic surgery is safe and practicable for great static pheochromocytoma．

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