后腹腔镜治疗肾上腺嗜铬细胞瘤的安全性和实用性探讨

目的评估后腹腔镜治疗肾上腺嗜铬细胞瘤的安全性和实用性。方法回顾性分析后腹腔镜治疗肾上腺嗜铬细胞瘤和其他肾上腺良性肿瘤的临床资料，对比两组之间的异同点。结果11例肾上腺嗜铬细胞瘤和32例其他肾上腺良性肿瘤均经后腹腔镜顺利完成肿瘤切除。除手术时间和失血量两组之间有显著性差异外，术后并发症、止痛剂用量及术后恢复时间均无显著性差异。术后临床症状和体征逐渐消失，激素水平恢复正常。结论术前准确的定位诊断，充分的扩容、降压和改善全身情况是保证肾上腺嗜铬细胞瘤手术顺利完成的必要条件。在与麻醉师的密切配合下，后腹腔镜肾上腺嗜铬细胞瘤切除是安全有效的方法，特别适合于较小的肾上腺嗜铬细胞瘤。

Safety and feasibility of retroperitoneoscopic surgery for adrenal pheochromocytoma

Objective To evaluate the safety and feasibility of retroperitoneoscopic surgery for adrenal pheochromocytoma.Methods 11 patients with pheochromocytoma and 32 patients with benign adrenal adenoma underwent retroperitoneoscopic surgery.The operation time,blood loss,complication,tumor size,and postoperative rehabilitation were analyzed retrospectively.Results Retroperitoneoscopic surgery for adrenal pheochromocytoma and benign adenoma was completed smoothly in all patients.There was a significant difference in operation time and blood loss between pheochromocytoma and adenoma groups.No difference was found in postoperative complication and rehabilitation.After surgery,clinical symptoms and signs disappeared gradually.Hormone measurement results were in normal values.Conclusion Based upon the efficacious preoperative medication,tumor localization,improvement of patient's general condition,and intraoperative cooperation between the surgeen and anesthetist,retroperitoneoscopic surgery for treatment of adrenal pheochromocytoma especially for small tumor is safe,feasible,and effective.