[嗜铬细胞瘤腹腔镜肾上腺切除术的麻醉管理]
[Anesthetic management of laparoscopic adrenalectomy for pheochromocytoma].
作者信息
Yu Xue-rong, Guo Xiang-yang, Luo Ai-lun, Li Han-zhong
机构信息
Department of Anesthesiology, Peking Union Medical College Hospital, Beijing 100730, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2006 Jan 15;44(2):115-7.
OBJECTIVE
To investigate the anesthetic management features of laparoscopic adrenalectomy for pheochromocytoma.
METHODS
Twelve patients scheduled for laparoscopic adrenalectomy for pheochromocytoma under general anesthesia were allocated into group 1, while another 12 patients who received transabdominal adrenalectomy for pheochromocytoma under general anesthesia were selected as group 2. The hemodynamic changes and the postoperative recovery profiles between the two groups were compared.
RESULTS
Hemodynamic fluctuation occurred during carbon dioxide insufflation and tumor manipulation in group 1. However, there were no differences between the two groups. Duration of post operative recovery and hospital stay as well as requirement of analgesics in group 1 were significantly lower than those in group 2 (P < 0.05).
CONCLUSION
Hemodynamic fluctuation still exists during laparoscopic adrenalectomy for pheochromacytoma. However, patients undergoing such surgical procedure recover faster as compared with open surgery.
目的
探讨嗜铬细胞瘤腹腔镜肾上腺切除术的麻醉管理特点。
方法
将12例计划在全身麻醉下行嗜铬细胞瘤腹腔镜肾上腺切除术的患者分为1组，另选12例在全身麻醉下行嗜铬细胞瘤经腹肾上腺切除术的患者作为2组。比较两组患者的血流动力学变化及术后恢复情况。
结果
1组在二氧化碳气腹和肿瘤操作期间出现血流动力学波动。然而，两组之间无差异。1组术后恢复时间、住院时间以及镇痛药需求量均显著低于2组（P<0.05）。
结论
嗜铬细胞瘤腹腔镜肾上腺切除术期间仍存在血流动力学波动。然而，与开放手术相比，接受该手术的患者恢复更快。
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