Podolsky Erica R, Feo Lenardo, Brooks Ari D, Castellanos Andres
Department of Surgery, Drexel University College of Medicine, Philadelphia, PA 19102, USA.
JSLS. 2010 Apr-Jun;14(2):303-8. doi: 10.4293/108680810x12785289145006.
Pheochromocytoma is a rare neuroendocrine tumor diagnosed in 1:50,000 pregnancies. Normal physiologic changes associated with pregnancy often make early recognition difficult and diagnosis delayed. Treatment consists of medical followed by surgical intervention. This case of a 34-year African-American female diagnosed with an adrenal pheochromocytoma during her second trimester of pregnancy is the first reported case of successful robotic resection. The robot provided advantages, such as enhanced visualisation and freedom of dissection, within this confined space. These added benefits over traditional laparoscopy provide a means for performing difficult procedures within decreased space possibly allowing for interventions in later or larger pregnancies.
嗜铬细胞瘤是一种罕见的神经内分泌肿瘤，在每50000次妊娠中会有1例被诊断出来。与妊娠相关的正常生理变化常常使早期识别变得困难，诊断延迟。治疗包括药物治疗，随后进行手术干预。该病例为一名34岁的非裔美国女性，在妊娠中期被诊断出患有肾上腺嗜铬细胞瘤，这是首例成功进行机器人切除术的报告病例。在这个有限的空间内，机器人具有一些优势，比如增强的可视化和解剖自由度。与传统腹腔镜手术相比，这些额外的优势为在更小的空间内进行困难手术提供了一种方法，可能允许在妊娠后期或更大孕周时进行干预。
