Park Joon Seong, Lee Kang Young, Kim Jae Keun, Yoon Dong Sup
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
J Laparoendosc Adv Surg Tech A. 2009 Feb;19(1):63-5. doi: 10.1089/lap.2008.0019.
Laparoscopic surgery for pheochromocytoma is difficult because of the potential release of catecholamines, which may lead to severe intraoperative hemodynamic changes. In particular, extra-adrenal pheochromocytoma imposes special demands on the laparoscopic surgical skills of the operator because of changes in anatomic disposition. In this paper, we report a case of extra-adrenal pheochromocytoma, located in the vulnerable anatomic structures, taking place in tiny areas that were difficult to access and that was resected by using the da Vinci robotic system. We found that the da Vinci robotic system gave us improved visual quality to surrounding structures. After our initial experience, we suggest the robot-assisted laparoscopic resection for extra-adrenal pheochromocytoma.
由于嗜铬细胞瘤可能释放儿茶酚胺，从而导致术中严重的血流动力学变化，因此腹腔镜手术治疗嗜铬细胞瘤具有一定难度。特别是肾上腺外嗜铬细胞瘤，由于其解剖位置的改变，对手术医生的腹腔镜手术技巧提出了特殊要求。在本文中，我们报告了一例肾上腺外嗜铬细胞瘤病例，该肿瘤位于脆弱的解剖结构中，发生在难以触及的微小区域，采用达芬奇机器人系统进行了切除。我们发现，达芬奇机器人系统提高了对周围结构的视觉质量。基于我们的初步经验，我们建议采用机器人辅助腹腔镜切除术治疗肾上腺外嗜铬细胞瘤。
