Clinical observation on modified adrenalectomy in treatment of pheochromocytoma
10.3969/j.issn.1007-1989.2017.05.022
- VernacularTitle: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
- Author:
Jingyang GUO
;
Wenzeng YANG
;
Yanqiao ZHANG
;
Xiangyang LIN
;
Wei ZHANG
;
Zhenyu CUI
- Keywords:
modified adrenalectomy;
retroperitoneal laparoscopic surgery;
pheochromocytoma
- From:
China Journal of Endoscopy
2017;23(5):102-104
- CountryChina
- Language:Chinese
-
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.