腹腔镜手术治疗肾上腺嗜铬细胞瘤

目的 评价腹腔镜手术治疗肾上腺嗜铬细胞瘤的安全性及临床价值.方法 对25例肾上腺嗜铬细胞瘤患者采用腹腔镜经腹腔途径手术治疗.结果 25例全部成功,无1例中转开放手术,无严重并发症发生.肿瘤最大径1.5～10.8 em,平均4.8 cm;手术时间45～130 min,平均70 min;术中出血量30～180 ml,平均65 ml,均未输血;术后住院4～7天,平均6.1天;术后病理检查证实均为肾上腺嗜铬细胞瘤.全部病例获得随访6～72个月,患者血压正常,B超或CT复查均未见肿瘤复发.结论 腹腔镜手术治疗肾上腺嗜铬细胞瘤具有手术时间短,出血少、损伤小、恢复快、安全性高、并发症少等优点,可替代开放手术.

Laparoscopic surgery for adrenal pheochromocytoma

Objectives To evaluate the safety and application of laparoseopie surgery for adrenal pheochro-mocytoma. Methods Clinical records of 25 cases of laparoseopie adrenalectomy of pheochromocytom. Results Laparoseopic adroualectomy were performed successfully all the cases with pheochromocytoma. No patient required conversion to open surgery. The largest dimension of the tumor was 1.5～10.8 (mean 4.8) em. The operative time was 45～130 (mean 70) rain. The volume of blood loss was 30 ~ 180(mean 65) ml with no blood transfusion. The postoperative hospital stay was 4～7 (mean 6.1) days. Pathological examination revealed adrenal pheochromocytoma in all cases. All eases were followed up for6～72 (mcan10) months. In all patients blood pressures were normal and no residual tumors were found by B-altrasonngraphy or CT scans after laparoseopic surgery. Conclusions Lap-arosacopie surgery for pheochromoeytoma is feasible and safe, without increasing the operation risks. Because of its less traumatic and more rapid recovery, laparoscopie adrenalectomy can be considered the preferred choice for pheo-chromcytoma.