[1]李卫平,王养民,常德辉,等.后腹腔镜下肾上腺嗜铬细胞瘤切除术37例疗效观察[J].中华腔镜泌尿外科杂志(电子版),2009,(06):482.
　LI Wei-Ping,WANG Yang-Min,CHANG De-hai,et al.Clinical effect of retroperitoneoscopic adrenalectomy for pheochromocytoma[J].,2009,(06):482.
点击复制

后腹腔镜下肾上腺嗜铬细胞瘤切除术37例疗效观察()
分享到：

中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2009年06期
页码:
482
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Clinical effect of retroperitoneoscopic adrenalectomy for pheochromocytoma
作者:
李卫平; 王养民; 常德辉; 乔够梅
兰州军区兰州总医院泌尿外科,兰州,730050
Author(s):
LI Wei-Ping; WANG Yang-Min; CHANG De-hai; QIAO Gou-mie
关键词:
嗜铬细胞瘤; 肾上腺切除术; 腹腔镜; 后腹膜腔
摘要:
目的 探讨后腹腔镜下肾上腺嗜铬细胞瘤切除术的安全性及治疗效果.方法 行后腹腔镜肾上腺嗜铬细胞瘤切除术37例病例资料.肿瘤位于左侧14例,右侧22例,双侧1例.肿瘤直径0.8～8.9 cm,平均4.1±2.2 cm.4例(13.2%)血压正常,33例(86.8%)血压升高,以头晕、头痛、心悸、恶心、呕吐、腹痛等为主要临床表现,典型三征症患者5例.术前将红细胞比容控制在45%以下,心率90次/min,血压在正常范围后,连续监测3 d血压无明显波动后在全身麻醉下行后腹腔镜下肾上腺嗜铬细胞瘤切除术. 结果 36例手术成功,1例中转开放手术.手术时间143±16 min,术中估计出血量96±34 m1.术后住院时间5±2 d.术中术后未发生重大并发症,肿瘤局部无复发. 结论后腹腔镜下肾上腺嗜铬细胞瘤手术具有微创、出血少、恢复快等优点,充分的术前准备、正确的术中操作是取得手术成功、减少术后并发症的关键.

相似文献/References:

[1]王卫峰,米其武,张志刚,等.后腹腔镜肾上腺切除术36例报告[J].中华腔镜泌尿外科杂志(电子版),2008,(03):18.
　WANG Wei-feng,MI Qi-wu,ZHANG Zhi-gang,et al.Retroperitoneal laparoscopic adrenalectomy in the treatment of adrenal diseases[J].,2008,(06):18.
[2]王晓晶,沈周俊,祝宇,等.肾上腺小肿瘤的后腹腔镜手术治疗体会[J].中华腔镜泌尿外科杂志(电子版),2009,(04):319.
　WANG Xiao-jing,SHEN Zhou-Jun,ZHANG Rong-ming,et al.Retroperitoneoscopic adrenalectomy for small adrenal tumors (≤1cm)[J].,2009,(06):319.
[3]肖克峰,刘大乐,陈彤,等.ZEUS机器人腹腔镜与常规腹腔镜肾上腺肿瘤切除术的比较[J].中华腔镜泌尿外科杂志(电子版),2009,(04):339.
　XIAO Ke-feng,YANG Jiang-gen,CHEN Tong,et al.A comparison of ZEUS robotic-assisted laparoscopic and conventional laparoscopic adrenalectomy[J].,2009,(06):339.
[4]吴刚,张尧,叶锦,等.经脐单孔腹腔镜下肾上腺全切除术的初步探讨[J].中华腔镜泌尿外科杂志(电子版),2010,(02):90.
[5]郑士平,王志勇,袁荫田,等.后腹腔镜治疗12例肾上腺嗜铬细胞瘤回顾分析[J].中华腔镜泌尿外科杂志(电子版),2011,(02):123.
　ZHENG Shi-ping,WANG Zhi-yong,YUAN Yin-tian,et al.Retroperitoneal laparoscopic adrenalectomy for the treatment of adrenal phenochromocytoma: Report of 12 cases[J].,2011,(06):123.
[6]王东文,张旭辉,曹晓明,等.两种手术方式对后腹腔镜下肾上腺嗜铬细胞瘤切除术血液动力学影响的对比研究[J].中华腔镜泌尿外科杂志(电子版),2011,(03):182.
　WANG Dong-wen,ZHANG Xu-hui,CAO Xiao-ming,et al.Intraoperative hemodynamic effects in patients undergoing retroperitoneal laparoscopic adrenalectomy for pheochromocytomas performed with different methods[J].,2011,(06):182.
[7]黎卫,李志坚.超声刀与高频电刀在腹腔镜肾上腺肿瘤切除术应用中的比较[J].中华腔镜泌尿外科杂志(电子版),2011,(05):408.
　LI Wei,LI Zhi-jian.The application of ultrasonic scalpel in laparoscopic adrenalectomy[J].,2011,(06):408.
[8]韩传宝,刘存明,周钦海,等.预先应用酚妥拉明对嗜铬细胞瘤术中血流动力学的影响[J].中华腔镜泌尿外科杂志(电子版),2011,(06):473.
　HAN Chuan-bao,LIU Cun-ming,ZHOU Qin-hai,et al.Continuous infusion of phentolamine during the surgry for pheochromocytoma: evaluation of the haemodynamic condition[J].,2011,(06):473.
[9]唐炎权,周均洪.双平面改良暴露法在后腹腔镜技术治疗肾上腺疾病的临床应用[J].中华腔镜泌尿外科杂志(电子版),2012,(01):14.
　TANG Yan-quan,ZHOU Jun-hong.Research on the modified method of dual plane surgical exposition in retroperitoneal laparoscopy for adrenal disease[J].,2012,(06):14.
[10]蔡畅青,范翰共,黄惠玲,等.基层医院后腹腔镜肾上腺肿瘤切除术的体会和疗效[J].中华腔镜泌尿外科杂志(电子版),2012,(04):281.
　CAI Chang-qing,FAN Han-gong,HUANG Hui-ling,et al.The effect of laparoscopic adrenalectomy for adrenal tumor in primary hospital[J].,2012,(06):281.
[11]李永红,周芳坚,陈壮飞,等.腹腔镜肾上腺嗜铬细胞瘤切除术七例报告[J].中华腔镜泌尿外科杂志(电子版),2008,(02):127.

更新日期/Last Update: 1900-01-01