后腹腔镜手术治疗巨大静止型嗜铬细胞瘤的临床研究

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。

Preliminary study on retroperitoneal laparoscopic surgery for great static pheochromocytoma

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 catheter was 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.