Abstract：Objective:To study the application effect of laparoscopic surgery in the treatment of adrenal pheochromocytoma. Methods:A retrospective analysis was made of 35 patients with adrenal pheochromocytoma receiving retroperitoneal laparoscopic surgery in our hospital between 2005.7 and 2011.7. Results:All the 35 operations were successful, and none was converted to open surgery. The mean operation time was 95 min, ranging from 50 min to 240 min. The mean blood loss was 85 ml, ranging from 20 ml to 500 ml. one case received blood transfusion postoperatively. The mean hospital stay was 6 days. The mean diameter of tumor was 3.5 cm, ranging from 2 cm to 6 cm. One case was complicated with infection postoperatively. All the specimens were confirmed pheochromocytoma by pathology. All the cases were followed up for 12 months and one case had recurrence and undergone secondary surgical treatment. Conclusions:Retroperitoneal laparoscopic surgery for adrenal pheochromocytoma has clear field and exposure, and could remove the tumor completely and preserve the normal adrenal tissue. Compared with open surgery, Retroperitoneal laparoscopic surgery has the advantage of rapid recovery, minimal injury, less bleeding, little fluctation of blood pressure during operation, fewer interfences from abdominal cavity and better acception. The selection of tumor depends on the operative skills.
汪永清, 卢建路, 冀强, 闫河峰, 董五星, 章欣. 后腹腔镜手术在治疗肾上腺嗜铬细胞瘤中的应用[J]. 微创泌尿外科杂志, 2013, 2(4): 284-286.
Wang Yongqing, Lu Jianlu, Ji Qiang, Yan Hefeng, Dong Wuxing, Zhang Xin. The application of retroperitoneal laparoscopic surgery in the treatment of adrenal pheochromocytoma. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2013, 2(4): 284-286.
[1]吴阶平.吴阶平泌尿外科学,济南:山东科技出版社,2009:1683-1685. [2]Pacak K. Preoperative management of the pheochromocytoma patient. J Clin Endocrinol Metab, 2007,92(11):4069-4079. [3]Mittendorf EA,Evans DB,Lee JE,et al.Pheochromocytoma:advances in genetics,diagnosis,localization,andtreatment.Hematol Oncol Clin North Am,2007,21(3):509-525. [4]van der Horst-Schrivers AN, Kerstens MN, Wolffenbuttel BH. Preoperative pharmacological management of phaeochromocytoma. Neth J Med, 2006,64(8):290-295. [5]张旭.泌尿外科腹腔镜手术学.北京:人民卫生出版社,2008:24-29. [6]Fernández-Cruz L, Taurá P, Sáenz A, et al. Laparoscopic approach to pheochromocytoma: hemodynamic changes and catecholamine secretion. World J Surg, 1996,20(7):762-768. [7]Sprung J,YHara J F Jr,Gill I S,et al.Anesthetic aspects of laparoscopic and open adrenalectomy for pheochromocytoma.Urology,2000,55:339-343. [8]Lepsien G, Neufang T, Lüdtke FE. Laparoscopic resection of pheochromocytoma. Surg Endosc, 1994,8(8):906-909. [9]Janetschek G, Altarac S, Finkenstedt G, et al. Technique and results of laparoscopic adrenalectomy. Eur Urol, 1996,30(4):475-479. [10]Salomon L, Rabii R, Soulie M, et al. Experience with retroperitoneal laparoscopic adrenalectomy for pheochromocytoma. J Urol, 2001,165(6 Pt 1):1871-1874.
