后腹腔镜肾上腺嗜铬细胞瘤切除术

目的：探讨后腹腔镜手术治疗肾上腺嗜铬细胞瘤的效果。方法：回顾性分析2002年2月～2004年1月采用后腹腔镜手术治疗12例。肾上腺嗜铬细胞瘤患者的临床资料。结果：12例手术全部成功。手术时间45～190mln，平均100min。平均出血量133ml，无需要输血者。平均术后住院时间为4．4（2～8）d。切除肿瘤平均直径为36（20～60）mm，术后并发血肿1例。病理检查报告均为嗜铬细胞瘤。随访2～24个月，患者血压均恢复正常，肿瘤局部无复发。结论：后腹腔镜手术具有微创、出血少、恢复快等特点，对切除直径〈5cm的嗜铬细胞瘤是安全的。

Treatment of pheochromocytomas with retroperitoneal laparoscopy

Objective:To evaluate retroperitoneal laparoscopic adrenalectomy for pheochromocytoma.Methods:From February 2002 to January 2004, 12 retroperitoneal laparoscopic adrenalectomies were performed and the clinical data were reviewed.Results:Success was achieved in 12 cases. The operating time ranged from 45 to 190 minutes (mean 100). Mean blood loss was 133 ml and none of the patients required transfusion. Average postoperative hospital stay was 4.4 days (range 2 to 8). The mean diameter of the excised masses was 36 mm. (range 20 to 60). Postoperative complications (hematoma) occurred in 1 cases. 12 cases were pathologically diagnosed as pheochromocytoma postoperatively. During the 2 months to 2 years, follow-up, all of patients had normal blood pressure and no recurrent tumor developed.Conclusions:Retroperitoneal laparoscopic adrenalectomy can be safely performed for small (less than 5 cm. diameter) pheochromocytoma. with little less trauma blood loss and quick recovery.