摘要：目的：总结腹腔镜嗜铬细胞瘤切除术的麻醉方法。方法：22例腹腔镜嗜铬细胞瘤切除术患者随机分为全麻加硬膜外组和全麻组。比较两组患者术中血流动力学变化和并发症的发生率。结果：在血流动力学变化方面,腹腔镜手术患者在气腹及肿瘤探查时有显著性变化,全麻加硬膜外组HR、MAP、SBP、DBP较对照组降低，但两组比较无显著性差异，而并发症的发生率较对照组明显降低。结论：腹腔镜嗜铬细胞瘤切除术术中有一定的血流动力学波动,全麻加硬膜外麻醉是最适宜的麻醉方法。

    关键词： 腹腔镜; 嗜铬细胞瘤; 麻醉; 血流动力学

    Study of Anesthesia Method in the Laparoscopic Excision of Pheochromocytoma

    LIAO Hui-hua, CAI Wei-hua, MO Jian

    (Guangdong Medical College Affiliated Hospital, Guangdong Zhanjiang 524001, China)

    Abstract： Objective： To study anesthesia method in the laparoscopic excision of pheochromocytoma. Method：22 patients scheduled for laparoscopic adrenalectomy for pheochromocytoma were allocated into epidural plus general anesthesia group and general anesthesia group.The hemodynamic changes and complications between the two groups were compared. Result： Hemodynamic fluctuation change major during carbon dioxide insufflation and tumor manipulation in the laparoscopic excision of pheochromocytoma. The HR, MBP, SBP and DBP were less in the epidural plus general anesthesia group.Two groups for comparison have no clear difference.But the complications were significantly lower in the epidural plus general anesthesia group.Conclusion： Hemodynamic flucturaton still exists during laparoscop icadrenalectomy for pheochromacytoma1. The epidural plus general anesthesia is the best method in the laparoscopic excision of pheochromocytoma. ......