CAJ | 학술논문

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 cm,平均4.8 cm;手术时间45～130 min,平均70 min;术中出血量30～180ml,平均65ml,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.
목적 평개복강경수술치료신상선기락세포류적안전성급림상개치.방법 대25례신상선기락세포류환자채용복강경경복강도경수술치료.결과 25례전부성공,무1례중전개방수술,무엄중병발증발생.종류최대경1.5～10.8 cm,평균4.8 cm;수술시간45～130 min,평균70 min;술중출혈량30～180ml,평균65ml,균미수혈;술후주원4～7천,평균6.1천;술후병리검사증실균위신상선기락세포류.전부병례획득수방6～72개월.환자혈압정상,B초혹CT복사균미견종류복발.결론 복강경수술치료신상선기락세포류구유수술시간단、출혈소、손상소、회복쾌、안전성고、병발증소등우점,가체대개방수술.
Objectives To evaluate the safety and application of laparoscopic surgery for adrenal pheochromocytoma.Methods Clinical records of 25 cases of laparescopic adrenalectomy of pheochromocytom.Results Laparoscopic adrenalectomy 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(mean4.8)cm.The operative time was 45～130(mean 70)min.The volume of blood loss was 30～180(mean 65)ml with uo blood transfusion.The postoperative hospital stay was 4～7(mean 6.1)days.Pathological examination revealed adrenal pheochromocytoma in all cases.All cases were followed up for 6-72(mean10)months.In all patients blood pressures were normal and no residual tumors were found by B-ultrasonography or CT scans after laparoscopic surgery.Conclusions Laparoscopic surgery for pheochromocytoma is feasible and safe,without increasing the operation risks.Because of its leas traumatic and more rapid recovery,laparoscopic adrenalectomy can be considered the preferred choice for pheochromocytoma.