Dralle H, Ipta M, Henschel E, Schürmeyer T, Grosse H, Gratz K F, Kemnitz J, von zur Mühlen A
Klinik für Abdominal- und Transplantationschirurgie, Medizinischen Hochschule Hannover, BRD.
Acta Med Austriaca. 1988;15(4):108-10.
From 1975 through 1987, 54 patients underwent operations for pheochromocytoma (PCC): 37 patients for sporadic unilateral adrenal PCC, 9 for bilateral and familial PCC, and 4 patients for paraganglioma. In 4 additional patients, laparotomy failed to discover the reason for hypercatecholaminemia. There were no operative mortality and a low morbidity for unilateral (n = 43) as well as for bilateral adrenalectomy (n = 6). To avoid hormone replacement therapy after bilateral total adrenalectomy at least for some years, unilateral instead of bilateral adrenalectomy was preferred to be the initial surgical procedure of choice for familial and MEN-IIA-associated unilateral adrenal PCC. Autologous transplantation of the adrenal cortex were performed in 2 patients after bilateral adrenalectomy. 6 months postoperatively, the transplants were vital as proved by light-microscopy, but sufficiently functioning only in 1 patient.
1975年至1987年期间，54例患者接受了嗜铬细胞瘤（PCC）手术：37例为散发性单侧肾上腺PCC，9例为双侧和家族性PCC，4例为副神经节瘤。另有4例患者，剖腹手术未能发现高儿茶酚胺血症的原因。单侧肾上腺切除术（n = 43）和双侧肾上腺切除术（n = 6）均无手术死亡且发病率低。为了至少在几年内避免双侧全肾上腺切除术后的激素替代治疗，对于家族性和MEN-IIA相关的单侧肾上腺PCC，首选单侧而非双侧肾上腺切除术作为初始手术方式。2例患者在双侧肾上腺切除术后进行了肾上腺皮质自体移植。术后6个月，光镜检查证明移植组织存活，但仅1例患者移植组织功能足够。
