中国实用外科杂志

中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (12): 1130-1131.

• 论著 • 上一篇    下一篇

胸腹联合切口治疗右侧巨大肾上腺嗜铬细胞瘤8例报告

任选义1，2，魏金星1，张雪培1，王智勇1，王庆伟1   

  1. 1郑州大学第一附属医院泌尿外科，河南郑州450002；2开封市第一人民医院泌尿外科，河南开封475000
  • 出版日期:2011-12-01 发布日期:2011-11-28

  • Online:2011-12-01 Published:2011-11-28

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摘要：

目的    探讨治疗巨大嗜铬细胞瘤的手术方法和技巧。方法    对郑州大学第一附属医院2005年1月至2009年12月收治的8例右侧肾上腺巨大肿瘤病人采用胸腹联合切口手术切除。结果    8例肿瘤均完整切除，平均手术时间165 min，平均术中出血量550mL，无严重并发症。病理报告嗜铬细胞瘤良性6例，恶性倾向2例。结论    第8肋间胸腹联合切口治疗右侧巨大肾上腺嗜铬细胞瘤暴露清晰，肿瘤切除完整，手术安全性好。

关键词: 嗜铬细胞瘤, 胸腹联合切口

Abstract:

Abdominothoracic incision in the surgical treatment of right adrenal large pheochromocytoma: a report of 8 cases        REN Xuan-yi*, WEI Jin-xing, ZHANG Xue-pei, et al. *Department of Urology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450002, China
Corresponding author: WEI Jin-xing, E-mail:weijinxing1956@126.com
Abstract    Objective    To investigate the operative method and technique for the management of large pheochromocytoma. Methods    A total of 8 cases of right adrenal large pheochromocytoma were performed operation through the abdominothoracic incision from January 2005 to December 2009 in the First Affiliated Hospital of Zhengzhou University. Results    All of the adrenal masses were resected completely with the mean operating interval of 165 min and the mean bleeding volume of 550 mL and no severe complication occurred. Six cases were benign pheochromocytoma and 2 were malignant. Conclusion    The 8th-rib abdominothoracic incision has a good exposure for the removal of right adrenal large pheochromocytomas. The tumors could be resected integratedly and safely.

Key words: pheochromocytoma, abdominothoracic incision