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本院于2012年5月至2016年2月,实施后腹腔镜肾上腺嗜铬细胞瘤切除术28例,取得满意效果。现将手术配合体会报告如下。1临床资料本组患者28例。男12例,女16例。年龄26~63岁,平均42.3岁。主要临床表现为持续性或阵发性高血压伴头痛,头晕,心悸,多汗等。术前经B超、CT、和MRI及内分泌检查诊断为肾上腺嗜铬细胞瘤,并经术后组织病理检查确诊。手术方法:气管插管全麻。健侧卧位,抬高腰桥。于患侧腋后线12肋下作1~2 cm纵行切口,用血管钳钝性分离腰背筋膜,食
The hospital from May 2012 to February 2016, the implementation of retroperitoneal laparoscopic pheochromocytoma in 28 cases, and achieved satisfactory results. Now with surgery experience report as follows. 1 clinical data in this group of 28 patients. There were 12 males and 16 females. Age 26 to 63 years old, average 42.3 years old. The main clinical manifestations of persistent or paroxysmal hypertension with headache, dizziness, palpitations, sweating and so on. Preoperative diagnosis of adrenal pheochromocytoma by B ultrasound, CT, and MRI and endocrine examination, and confirmed by postoperative histopathological examination. Surgical methods: Tracheal intubation general anesthesia. Healthy lateral position, raise the lumbar bridge. In the ipsilateral posterior axillary line 12 ribs for 1 ~ 2 cm longitudinal incision, blunt dissection with vascular forceps back fascia, food