摘要
目的探讨手助腹腔镜治疗巨大肾上腺嗜铬细胞瘤的手术方法和效果。方法回顾性分析自2006年7月至2009年3月,采用经腹腔入路手辅助腹腔镜肾上腺切除术治疗直径大于6cm的嗜铬细胞瘤患者10例。观察手术时间、术中出血量、术后并发症及患者恢复情况。结果 10例手术均获成功,无中转开放,手术时间40～110分钟,平均80分钟,术中出血量15～200ml,平均90ml,术后住院时间5～8天,平均6.9天,术中和术后无明显并发症。术后病理均提示嗜铬细胞瘤。术后随访6～24个月,平均15个月。术后半年内血压均恢复正常,无明显不适。结论手助腹腔镜治疗巨大嗜铬细胞瘤,具有视野清晰、创伤小、出血少、手术时间短、恢复快等特点。
Objective To investigate the safety and efficacy of hand-assisted laparoscopy in trenting huge adrenal pheochromocytoma. Methods Ten patients with pheochromocytoma larger than 6cm in diameter were treated with intraperitoneal route hand assisted laparoscopic adrenalectomy by one single surgeon from July 2006 to March 2009. The operation time, intra-operative blood loss, postoperative complications and prognosis were recorded. Results The surgeries were successful with no conversion to open operation or significant complications, and the mean surgery time was 80 min (40~110 min), mean blood loss 80 ml (15~200 ml) and the postoperative hospitalization time was 6.9 d (5~8 d). All of the postoperative pathology analyses indicated pheochromocytoma. The blood pressure returned to normal half a year after the operation with no remarkable discomfort or metastasis with a follow-up of average 15 months (6 to 24 months). Conclusions The hand-assisted laparoscopy has an advantage of clear vision, less trauma, less bleeding, shorter operation time and rapid recovery to treat giant pheochromocytoma.
出处
《泌尿外科杂志（电子版）》
2011年第4期19-22,共4页
Journal of Urology for Clinicians(Electronic Version)
关键词
手辅助
腹腔镜
巨大嗜铬细胞瘤
Hand-assisted
Laparoscopy
Huge pheochromocytoma
