【摘要】 目的探讨经后腹腔途径行腹腔镜治疗肾上腺嗜铬细胞瘤的临床疗效及安全性。 方法回顾性分析我院自2008年6月至2014年2月采用后腹腔镜行肾上腺肿瘤切除术治疗嗜铬细胞瘤21例患者的临床资料及随访结果。 结果21例手术均获得成功，无中转开放手术。术后病理诊断皆为嗜铬细胞瘤。肿瘤直径2.3~8.1 cm，平均直径3.5 cm。术中有3例出现血压、心率剧烈波动，血压最高达220 /100 mmHg，最低达到85 /50 mmHg，心率最高达124次/min。其余患者手术过程中血压和心率平稳。手术时间50~140 min，平均手术时间70 min；术中出血量30~110 mL，平均出血量46.5 mL，无1例术中输血；术中损伤腹膜一例，无切口感染；术后住院时间4~8 d，平均住院时间6.5 d。术后随访3-24个月，未见症状复发以及肿瘤局部复发。结论后腹腔镜治疗肾上腺嗜铬细胞瘤安全可行。在合理的术前准备及术中正确处理前提下，可采用后腹腔镜肾上腺切除术治疗直径较大肾上腺嗜铬细胞瘤。

    【关键词】腹腔镜；嗜铬细胞瘤；肾上腺切除术

    【Abstract】 【Objective】To evaluate the effect and safety of Retroperitoneal laparoscopic resection of adrenal pheochromocytoma.【Methods】 Between June 2008 and February 2014,The 21 cases of pheochromocytomy who underwent Retroperitoneal adrenalectomy.【Results】The operation was performed successful in all cases, without conversion to open surgery. The tumor size ranged from 2.3~8.1 cm( mean 3.5 cm), Conspicuous fluctuation of blood pressure was observed in three patients during operation.The operative time was 50~140 min (mean 70 min), and the blood loss was 30~110 mL(mean 46.5 mL).1 patient with incision infection. The postoperative hospital stay was 4~ 8 days (mean 6.5 d).The patients were followed up for 3~24 months. No recurrent tumor was found.【Conclusions】 It was effective and safe by laparoscopic adrenalectomy for pheochromocytoma.The large pheochromocytoma could be a safe and minimally invasive procedur by extremely important for preoperative preparation. ......