Clinical characteristics during the perioperative period of pheochromocytomas in the elderly
10.3760/cma.j.issn.0254-9026.2019.11.021
- VernacularTitle: 老年嗜铬细胞瘤患者围术期临床特点分析
- Author:
Wei ZHU
1
;
Shaogang WANG
;
Guanghui DU
;
Hailang LIU
;
Jinjin LU
;
Weimin YANG
Author Information
1. Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
- Publication Type:Journal Article
- Keywords:
Pheochromocytoma;
Perioperative period
- From:
Chinese Journal of Geriatrics
2019;38(11):1278-1281
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical characteristics during the perioperative period of pheochromocytoma in patients aged 60 years and over.
Methods:Data of age, sex, tumor size, anesthesia time, intraoperative bleeding volume, intraoperative blood pressure, complications and hospitalization time from patients with pheochromocytoma in our hospital treated by the retroperitoneal laparoscopic adrenalectomy from January 2008 to October 2018 were retrospectively analyzed.The relationships of age with the intraoperative hemodynamic instability and postoperative complications were analyzed.
Results:A total of 203 patients with pheochromocytoma met the inclusion criteria were enrolled.Age over 60 years(OR1.771, 95%CI=1.015-3.089, P=0.044)was an independent risk factor for intraoperative hemodynamic instability.
Conclusions:Laparoscopic retroperitoneal adrenalectomy is a safe surgical method for pheochromocytoma patients aged 60 years and over.For elderly patients with pheochromocytoma, especially those with a tumor diameter of more than 5 cm, special attention should be paid to the prevention of intraoperative hypertension crisis.
