嗜铬细胞瘤手术切口的选择（附１０３例报告）

目的：提高嗜铬细胞瘤手术治疗水平，方法：回顾性分析１０３例嗜铬细胞瘤患者手术切口的选择方法及选择原则。结果：４９例行１１肋间切口，１８例行１０肋间切口，１５例行腹剖正中切口，９例行胸腹联合切口,5例行腹部肋下切口，３例行下腹正中切口,３例后外侧切口，１例行腹腔镜手术，结论：（１）大部分肾上腺嗜铬细胞瘤宜用１１肋间切口１０肋间切口,(2) 大嗜铬细胞瘤或与大血管关系紧密的嗜铬细胞宜用腹剖正中切口，甚至胸腹联合切口，（３）多发性嗜铬细胞瘤肾上腺外嗜铬细胞瘤以腹部正中切口较为适用。

Surgical incision of the pheochromocytoma

Purpose:To evaluate the surgical method of pheochromocytoma.Methods:Data of 103 cases of patients with pheochromocytoma was reviewed retrospectively.Results:The operation of 49 patients with Pheochromocytoma were performed by the 11 th rib intercostal incision, 18 cases by the 10th rib intercostal incision, 15 cases by transrectus incision, 9 cases by abdominothoracic incision, 5 cases by abdominal subcostal oblique, 3 cases by inferior abdominal incision, 3 cases by posterolateral incision. 1 patient received the laparoscopic surgery.Conclusions:① Most surgical pathway of the pheochromocytoma in adrenal can be performed by the 11th rib intercostal incision of the 10th rib intercostal incision.②The suitable pathways for the giant pheochromocytoma adhering to big vessels are transrectus incision or abdominothoracic incision.③ For the mutiple masses of extra-adrenal pheochromocytoma, the middle abdominal incision may be the choice.