Ramakrishna Harish
Department of Anesthesiology, Division of Cardiovascular and Thoracic Anesthesiology, Mayo Clinic, Arizona, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA.
J Anaesthesiol Clin Pharmacol. 2015 Jul-Sep;31(3):317-23. doi: 10.4103/0970-9185.161665.
Pheochromocytoma represents very significant challenges to the anesthetist, especially when undiagnosed. These chromaffin tissue tumors are not uncommon in anesthetic practice and have varied manifestations. The perioperative management of these tumors has improved remarkably over the years, in conjunction with the evolution of surgical techniques (open laparotomy to laparoscopic techniques and now to robotic approaches in the present day). This review attempts to comprehensively address the intraoperative and postoperative issues in the management of these challenging tumors with an emphasis on hemodynamic monitoring and anesthetic technique.
嗜铬细胞瘤给麻醉医生带来了巨大挑战，尤其是在未被诊断出来的时候。这些嗜铬组织肿瘤在麻醉实践中并不罕见，且有多种表现形式。多年来，随着外科技术的发展（从开放剖腹手术到腹腔镜技术，如今又发展到机器人手术方法），这些肿瘤的围手术期管理有了显著改善。本综述试图全面探讨这些具有挑战性的肿瘤管理中的术中和术后问题，重点关注血流动力学监测和麻醉技术。
