25 years experience of the surgical treatment of phaeochromocytoma.

Ulf Niemann, Wolfgang Hiller, Matthias Behrend
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引用次数: 22

Abstract

Objective: To assess the outcome of the surgical treatment of patients who had adrenalectomy for phaeochromocytoma.

Design: Retrospective clinical study.

Settings: University hospital, Germany.

Subjects: 87 consecutive patients with phaeochromocytoma who were operated on.

Interventions: 29 flank and 58 transabdominal adrenalectomies between 1974 and 2000.

Results: The mean tumour diameter was 5 cm (range 2-13), and the mean weight 91 g (range 7-550). The postoperative hospital stay was 11 days. The flank incision entailed the shortest operating time (95 minutes). Two of the phaeochromocytomas were malignant. There were two wound infections but no deaths. With a correct selection of patients, a flank incision is safe. Endoscopic retroperitoneal adrenalectomies should be preferred.

25年的嗜铬细胞瘤手术治疗经验。
目的:评价嗜铬细胞瘤行肾上腺切除术的手术治疗效果。设计:回顾性临床研究。工作地点:德国大学医院。对象:87例连续手术治疗的嗜铬细胞瘤患者。干预措施:1974年至2000年间29例侧腹和58例经腹肾上腺切除术。结果:肿瘤平均直径5 cm(范围2 ~ 13),平均重量91 g(范围7 ~ 550)。术后住院11天。侧翼切口手术时间最短(95分钟)。2例嗜铬细胞瘤为恶性。有两例伤口感染,但没有死亡。只要选择正确的病人,侧腹切口是安全的。内窥镜下腹膜后肾上腺切除术是首选。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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