腹腔镜手术治疗肾上腺嗜铬细胞瘤（附七例报告）

目的 探讨腹腔镜手术治疗肾上腺嗜铬细胞瘤的临床价值。方法 采用腹腔镜手术治疗肾上腺嗜铬细胞瘤7例，其中5例采用经腹腔途径，2例采用腹膜后途径。结果 6例成功，1例因术中损伤胰腺出血改为开放手术。随访10－48个月，患者血压正常，肿瘤局部无复发。结论 对＜6cm的肾上腺嗜铬细胞瘤，只要术前准备充分，腹腔镜手术安全有效，有望替代开放手术成为首选的治疗方法。

Laparoscopic surgery for adrenal pheochromocytoma(report of 7 cases)

Objective　To evaluate the application of laparoscopic surgery for adrenal pheochromocytoma.　Methods　7 cases of adrenal pheochromocytoma were treated with laparoscopic surgery. The laparoscopic procedures included 5 transperitoneal and 2 retroperitoneal approaches.　Results　Success was achieved in 6 cases while in the other one the procedure was transferred to open surgery because of pancreas injury with bleeding. Postoperative follow up has been 10～48 months. In all the patients blood pressure returned to normal and no residual tumors were found after laparoscopic surgery.　Conclusions　As long as preoperative preparation was adequate, laparoscopic surgery could be safe and feasible for tumors smaller than 6 cm.