Komatz Y, Sasaki M, Kanamaru H, Ohshiro K, Machida S, Terachi T
Hinyokika Kiyo. 1986 Feb;32(2):169-72.
In the case of surgical approaches for adrenal pheochromocytoma, successful ligation and severance of the adrenal vein at the start can make intraoperative circulatory kinetics stable and subsequent operative procedures very easy. Recently, we adopted a thoracoabdominal approach in 5 cases of pheochromocytoma instead of transabdominal or translumbar approach which has so far been adopted for such tumors. The results revealed that the thoracoabdominal approach was very advantageous compared with these conventional approaches. Its main advantages include a wide and shallow operative field, early ligation and severance of the adrenal vein before mobilization of the tumor, easy operative procedure and short operation time, etc. The essential point is to carry out an operation not in a torqued flank-position but in a correct flank-position.
对于肾上腺嗜铬细胞瘤的手术入路，一开始成功结扎和切断肾上腺静脉可使术中循环动力学稳定，后续手术操作也非常容易。最近，我们对5例嗜铬细胞瘤采用了胸腹联合入路，而非迄今为止此类肿瘤所采用的经腹或经腰入路。结果显示，与这些传统入路相比，胸腹联合入路非常有优势。其主要优点包括手术视野宽广且浅，在肿瘤游离前能早期结扎和切断肾上腺静脉，手术操作简便且手术时间短等。关键在于手术时不要采用扭曲的侧卧位，而应采用正确的侧卧位。
