摘要
目的 探讨3D腹腔镜肾上腺嗜铬细胞瘤/副神经节瘤切除术的有效性和安全性。方法 分析北京协和医院2013年1月至2015年11月成功实施的3D腹腔镜肾上腺嗜铬细胞瘤/副神经节瘤切除术35例,术前行内分泌、影像学及核医学等检查,并服用2-4周α受体拮抗剂。对照组为2003年2月至2010年2月,北京协和医院实施的2D腹腔镜肾上腺嗜铬细胞瘤/副神经节瘤切除术,共211例（P〈0.05）。结果 手术全部成功,2组肿瘤直径、术中出血量和住院时间无显著差异。3D组手术时间显著低于2D组（P〈0.05）。肾上腺嗜铬细胞瘤24例、副神经节瘤11例。3D组随访3月到30月,无复发和转移。结论 与传统腹腔镜手术相比,3D腹腔镜成像系统在空间定位及深度感觉上有明显优势,手术安全可靠并且显著缩短手术时间。
Objective To highlight the effectivity and safety of 3 D-laparoscopic surgery to adrenal pheochromocy- tomas/paragangliomas. Methods Twenty four cases of adrenal pheochromoeytomas and 11 paragangliomas prov- en pathologically from Jan, 2013 to Nov, 2015 were treated by 3D-laparoseopic surgery in PeKing Union Medical College Hospital. Endocrine secretion examinations, B-US, CT, MRI, 131IMIBG, and octreotide were used to di- agnose the diease. Patients took a-receptor blocker for 2 -4 weeks preoperatively. 211 patients from Feb, 2003 to Feb, 2010 by 2D laparoscopic surgery were compared. Results All the operations were successfully comple- ted. There was no major intraoperative complications. Mean tumor diameter, estimated blood loss and hospital stay showed no significant difference. Mean operating time in 3D group was shorter than that in 2D group（P 〈 0.05 ）. Patients were followed up for 3 - 30 months with no recurrences of tumor. Conclusions 3D-laparoscopic surgery has obvious advantage in spatial location and the sense of depth for adrenal pheochromocytomas/paragan- gliomas,which make the operation easier and shortens the operation time obviously.
出处
《基础医学与临床》
CSCD
2016年第7期1014-1016,共3页
Basic and Clinical Medicine
基金
2012年国家临床重点专科建设项目基金(0701-134150050152)
关键词
3D腹腔镜
手术
嗜铬细胞瘤
副神经节瘤
three-dimensional imaging laparoscopy
operation
pheochromocytoma
paraganglioma
