腹腔镜下膀胱嗜铬细胞肿瘤切除术3例报道并文献复习

Laparoscopic Resection of Bladder Pheochromocytoma: A Report of 3 Cases and Literature Review

摘要: 目的：深入研究采用腹腔镜切除膀胱嗜铬细胞瘤的技巧及心得。方法：通过回顾性分析我院3例膀胱嗜铬细胞瘤患者的就诊、诊断以及治疗的过程，并将诊治过程与结既往相关文献报道内容相结合，从而对该病的相关特点进行总结分析。结果：对3例患者进行了完善的术前检查和充分的术前准备后，患者均行腹腔镜下膀胱嗜铬细胞肿瘤切除术，手术全部顺利完成，手术平均历时80 min，术中出血量平均40 ml，围手术期中，所有患者无并发症发生，术后病理检查证实患者膀胱肿瘤均为嗜铬细胞瘤。术后对患者的一般随访观察期限定为6个月，在随访观察过程中患者的血压均无异常波动，膀胱内均未检查到复发肿瘤。结论：由于膀胱嗜铬细胞瘤在临床中比较罕见，因此该病诊断最关键的手段是充分询问患者病史，并结合病人的临床体征以及相关辅助检查以完成该病的相关诊断，以免发生误诊导致错误治疗、漏诊导致延误治疗等现象，腹腔镜下嗜铬细胞瘤切除术是目前治疗该疾病的方法之一，且这种治疗方法优势在于创伤较小且术后疗效确切。

Abstract: Objective: In-depth study of techniques and experiences for the use of laparoscopic resection of bladder pheochromocytoma. Methods: Through retrospective analysis of the process of diagnosis, diagnosis and treatment of 3 patients with bladder pheochromocytoma in our hospital, and com-bining the diagnosis and treatment process with the content of previous relevant literature reports, the relevant characteristics of the disease were summarized and analyzed. Results: After perfect preoperative examination and adequate preoperative preparation, all patients underwent laparo-scopic bladder pheochromocytosis. And the operation was successfully completed, with an average operation time of 80 min, an average bleeding of 40 ml. There were no complications in the periop-erative period, and postoperative pathological examination confirmed that the tumor was pheo- chromocytoma. The average follow-up time of patients after surgery was 6 months, and the blood pressure of patients during the follow-up was normal, and there was no recurrence of tumors. Con-clusion: Bladder pheochromocytoma is clinically rare. The most important thing in its clinical diag-nosis is to fully ask the medical history, combined with the patient’s clinical symptoms and corre-sponding auxiliary examinations, in order to prevent misdiagnosis and missed diagnosis. Laparo-scopic pheochromocytoma resection is one of the current treatments for this disease, and the ad-vantages of this treatment are that it is less invasive and has a definite postoperative response.