改良肾上腺切除术治疗肾上腺嗜铬细胞瘤的临床疗效观察

Clinical observation on modified adrenalectomy in treatment of pheochromocytoma

摘要:

目的??观察改良后腹腔镜肾上腺切除术治疗肾上腺嗜铬细胞瘤的临床效果。方法?23例肾上腺嗜铬细胞瘤患者，经充分术前准备后行改良的后腹腔镜肾上腺切除术，观察患者术中及术后血压、心率、手术时间和术中出血量等指标的变化情况。结果?23例患者均手术成功，手术时间（62.3±11.7）min，术中出血量（34.4±17.7）ml，7例患者无出血，3例患者术中出现血压、心率变化转ICU检测治疗，2 d后安返普通病房，总体资料手术前后血压心率变化无显著差异。结论?改良后腹腔镜肾上腺切除术治疗嗜铬细胞瘤具有解剖清晰、手术时间短、出血少和生命体征平稳的优点。

Abstract:

Objective?To observe the clinical effect of modified laparoscopic adrenalectomy for adrenal pheochromocytoma.?Methods?23 patients with adrenal pheochromocytoma were treated with modified posterior laparoscopic adrenalectomy. The changes of blood pressure, heart rate, operation time and blood loss during and after operation were observed.?Results?23 patients were successfully operated, the operation time was (62.3 ± 11.7) min, the intraoperative blood loss was (34.4 ± 17.7) ml, there has no hemorrhage occurred while 3 cases were transferred to ICU for intraoperative blood pressure and heart rate fluctuation significantly, and back to general ward after 2 days, while there was no significant difference in blood pressure and heart rate preoperatively.?Conclusion?Modified laparoscopic adrenalectomy is safe and effective for pheochromocytoma and holds the advantages of clear anatomy, short operative time, less bleeding and less change in blood pressure and heart rate.