CAJ | 학술논문

目的探讨改良式腹部入路在肾巨大嗜铬细胞瘤术中的应用.方法肾上腺嗜铬细胞瘤患者1例.男,42岁.肿瘤大小15.0 cm×8.0 cm×7.0 cm.经术前准备3周.采取改良式经腹人路,不需切开横结肠上腹膜,减少了对腹腔脏器的干扰.术中探查发现肾上腺肿物与腹主动脉、左肾、左肾静脉粘连紧密.行肾上腺肿瘤、肾脏切除,并行扩大根治术.结果手术耗时300 min,术中出血约1000 ml,术中血压波动较小,术野暴露满意.术后随访6个月,患者血压恢复正常,无肿瘤复发或转移征象.结论改良式腹部入路术野暴露满意,用于巨大肾上腺肿瘤切除安全有效.
목적 탐토개량식복부입로재신거대기락세포류술중적응용.방법 신상선기락세포류환자1례.남,42세.종류대소15.0 cm×8.0 cm×7.0 cm.경술전준비3주.채취개량식경복인로,불수절개횡결장상복막,감소료대복강장기적간우.술중탐사발현신상선종물여복주동맥、좌신、좌신정맥점련긴밀.행신상선종류、신장절제,병행확대근치술.결과수술모시300 min,술중출혈약1000 ml,술중혈압파동교소,술야폭로만의.술후수방6개월,환자혈압회복정상,무종류복발혹전이정상.결론 개량식복부입로술야폭로만의,용우거대신상선종류절제안전유효.
Objective To analyze the application of modified abdomen pathway for excising the adrenal huge pheoehromocytoma.Methods One patient(male,42-year-old)had adrenal huge pheochromocytoma.The pheochromocytoma was about 15.0 cm×8.0 cm×7.0 cm.After 3 weeks' preparations,the patient was operated.The operation was made through the modified abdomen pathway for excision,without excising the transverse on peritoneal,and the interference to organs of peritoneal was reduced.The tumor on adrenal gland adhered kidney very tightly.Expanded radical excision including tumor,kidney,adrenal gland was applied.Results The operative time was 300 rain and the volume of bleeding was about 1000 ml.In the operation process,blood pressure of the patient was stable,the visual field of operation was satisfactory.Blood pressure of the patient returned normal 6 months postoperatively.And there was no indication of tumour relapse or matastasis.Conclusion The modified abdomen pathway can expose the satisfactory visual field,and is safe and effective for adrenal gland tumor operation.