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目的探讨经后腹腔镜入路手术治疗肾上腺嗜铬细胞瘤的适应证、手术方法及手术安全性。方法采用后腹腔镜手术治疗肾上腺嗜铬细胞瘤患者11例。结果经后腹腔镜入路治疗肾上腺嗜铬细胞瘤患者11例,10例为单纯腹腔镜下完成,肿瘤最大直径1.5～6.0cm。其中1例因瘤体过大(直径7.5cm)行手助腹腔镜手术(HALS)完成。无中转开放。手术时间35～120min,出血量10～100ml,术后住院时间5～8d。结果对于腹腔镜手术经验丰富者,后腹腔镜手术具有手术危险性小、时间短、出血少、创伤小、恢复快等优点。有望成为治疗肾上腺嗜铬细胞瘤的首选方法。
Objective To investigate the indications, surgical methods and operative safety of retroperitoneal laparoscopic surgery for adrenal pheochromocytoma. Methods Retroperitoneal laparoscopic surgery for adrenal pheochromocytoma in 11 cases. Results There were 11 cases of adrenal pheochromocytoma treated by retroperitoneal laparoscopic approach, and 10 cases were completed by laparoscopy only. The maximum tumor diameter was 1.5 ~ 6.0cm. One of the cases was completed by hand-assisted laparoscopic surgery (HALS) due to an over-sized tumor (7.5 cm in diameter). No transit open. Surgery time 35 ~ 120min, bleeding 10 ~ 100ml, postoperative hospital stay 5 ~ 8d. Results For those experienced in laparoscopic surgery, retroperitoneal laparoscopic surgery has the advantages of small operation risk, short time, less bleeding, less trauma and faster recovery. Is expected to become the preferred method of treatment of adrenal pheochromocytoma.