【摘要】 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24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23例手术取得成功,1例因粘连严重、术中出血改行开放手术。肿瘤最大径2.5~8 cm,平均4.2 cm;手术时间30~150 m in,平均70 m in;术中出血量20~200 m l,平均50 m l,均未输血;术后住院5~10 d,平均6.8 d;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3~18个月,平均10个月,患者血压正常,B超或CT复查均未见肿瘤复发。结论对于直径<6 cm的肾上腺嗜铬细胞瘤,腹腔镜手术具有手术时间短、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。更多还原

【Abstract】 [Objective] To evaluate the safety and application of laparoscopic surgery for adrenal pheochromocytoma.[Methods] Clinical records of 24 cases of laparoscopic adrenalectomy of pheochromocytom from October 2004 to December 2005 were reviewed.[Results] Success was achieved in 23 cases while in the other one the procedure was transferred to open surgery because of bleeding.The largest dimension of the tumor was 2.5~8(mean 4.2) cm.The operative time was 30~150 (mean 70) min.The volume of blood loss was 20~200(mean 50) ml with no blood transfusion.The postoperative hospital stay was 5~10(mean 6.8) days.Pathological examination revealed adrenal pheochromocytoma in all cases.All cases were followed up for 3~18(mean 10) months.In all patients blood pressures were normal and no residual tumors were found by B-ultrasonography or CT scans after laparoscopic surgery.[Conclusion] Laparoscopic surgery for pheochromocytoma is feasible and safe,without increasing the operation risks for tumors smaller than 6 cm.Because of its less traumatic and more rapid recovery,laparoscopic adrenalectomy can be considered the preferred choice for pheochromocytoma.更多还原