Lam J, Castillo O, Bravo J, Henríquez R, Tagle F
Servicios de Medicina, Urología y Anestesia, Hospital Regional de Talca y Clínica Santa María.
Rev Med Chil. 2001 Jan;129(1):91-4.
Laparoscopic adrenalectomy, if done by skilled surgeons, is now the first choice for treating most adrenal tumors, including bilateral pheochromocytoma. We report two women, aged 35 and 34 years old, with bilateral adrenal pheochromocytoma successfully excised by laparoscopic surgery. Both had severe hypertension, high urinary catecholamine values (epinephrine + norepinephrine: 528 and 1083 ug/24 h) and bilateral adrenal tumors at CT scan. After 4 weeks of doxazosin treatment, a laparoscopic transperitoneal adrenalectomy was done (Gugner's technique), with surgical times of 7 and 5 hours respectively. Both patients received hydrocortisone and only the second one required one unit of packed cells. Postoperative evolution was uneventful and both patients were discharged at the fifth postoperative day. At two months of follow up, both patients are asymptomatic and normotensive.
对于大多数肾上腺肿瘤，包括双侧嗜铬细胞瘤，若由技术娴熟的外科医生进行腹腔镜肾上腺切除术，目前已成为首选治疗方法。我们报告了两名分别为35岁和34岁的女性，她们均通过腹腔镜手术成功切除双侧肾上腺嗜铬细胞瘤。两人均患有严重高血压，尿儿茶酚胺值较高（肾上腺素+去甲肾上腺素：分别为528和1083μg/24小时），CT扫描显示双侧肾上腺肿瘤。在接受4周多沙唑嗪治疗后，进行了腹腔镜经腹肾上腺切除术（古格纳技术），手术时间分别为7小时和5小时。两名患者均接受了氢化可的松治疗，仅第二名患者需要输注一个单位的浓缩红细胞。术后恢复顺利，两名患者均于术后第五天出院。在随访两个月时，两名患者均无症状且血压正常。
