目的:探讨后腹腔镜手术在治疗肾上腺嗜铬细胞瘤中的应用效果。方法:回顾性分析2005年7月~2011年7月间应用后腹腔镜手术治疗35例肾上腺嗜铬细胞瘤患者的临床资料。结果:35例手术全部获得成功,无一例改开放手术,手术时间为50~240min,平均95min,出血量为20~500ml,平均85ml,1例术后予输血2个单位,术后平均住院6d,切除肿瘤大小为2~6cm,平均3.5cm,术后并发感染1例,术后病理报告均为嗜铬细胞瘤,平均随访12个月,有1例复发,行二次手术。结论:后腹腔镜下手术治疗肾上腺嗜铬细胞瘤视野清晰,暴露清楚,切除肿瘤完整,能有效的保留正常肾上腺组织,比传统开放手术有着恢复快、创伤小、出血少、术中血压波动较小、手术受腹腔干扰少及患者更容易接受等特点,肿瘤大小的选择取决于术者的操作技术水平,一般小于5cm。 Objective: To investigate the effect of retroperitoneal laparoscopic surgery in the treatment of adrenal pheochromocytoma. Methods: The clinical data of 35 cases of adrenal pheochromocytoma treated with retroperitoneal laparoscopic surgery from July 2005 to July 2011 were analyzed retrospectively. Results: All the 35 surgeries were successful. No operation was performed. The operation time was 50 ~ 240min with an average of 95min. The amount of bleeding was 20 ~ 500ml, with an average of 85ml. One patient was given 2 blood transfusions and the average postoperative hospital stay was 6 days The tumor size was removed from 2 cm to 6 cm with an average of 3.5 cm. One patient was complicated with postoperative infection and the pathological reports were all pheochromocytoma. The patients were followed up for an average of 12 months. One patient had a recurrence and had a second operation. Conclusions: Posterior laparoscopic surgery for adrenal pheochromocytoma has clear vision, clear exposure, complete removal of the tumor and effective retention of normal adrenal tissue, which has faster recovery, less trauma and less bleeding than traditional open surgery and less intraoperative blood pressure fluctuation Small, less abdominal surgery by surgery and patients more easily accepted and so on, the choice of tumor size depends on the level of operation of the surgeon, usually less than 5cm.