Lepsien G, Neufang T, Lüdtke F E
Department of General Surgery, University of Göttingen, Germany. f2
Surg Endosc. 1994 Aug;8(8):906-9. doi: 10.1007/BF00843469.
The following case report presents the diagnostic procedures, laparoscopic therapy, and postoperative course of a 48-year-old patient with pheochromocytoma. During the previous 15 years, he had occasionally presented with hypertension, intermittent attacks of severe perspiration, and tachycardia; no diagnostic measures were performed at the time. During an ultrasound examination of the abdomen performed due to gastrointestinal complaints, a 5-cm adrenal tumor was discovered incidentally. Further diagnostic procedures then indicated the presence of a pheochromocytoma which was resected laparoscopically. The anesthesia was tolerated well, although isolated systolic blood pressure peaks to 200 mmHg were observed. The laparoscopic tumor resection presented no problems, although identifying the tumor proved to be difficult and resulted in an extended operation time of 4 h and 20 min. The postoperative course was unremarkable. This case report presents our laparoscopic technique and confirms that techniques proven in the "open" resection of a pheochromocytoma can also be utilized in the laparoscopic approach.
以下病例报告介绍了一名48岁嗜铬细胞瘤患者的诊断过程、腹腔镜治疗及术后病程。在过去15年中，他偶尔出现高血压、严重出汗和心动过速的间歇性发作；当时未进行诊断措施。因胃肠道不适进行腹部超声检查时，偶然发现一个5厘米的肾上腺肿瘤。进一步的诊断程序表明存在嗜铬细胞瘤，并通过腹腔镜进行了切除。尽管观察到孤立的收缩压峰值达到200毫米汞柱，但麻醉耐受性良好。腹腔镜肿瘤切除没有问题，尽管确定肿瘤位置很困难，导致手术时间延长至4小时20分钟。术后病程顺利。本病例报告展示了我们的腹腔镜技术，并证实了在嗜铬细胞瘤“开放”切除中 proven的技术也可用于腹腔镜手术。 （注：“proven”原文拼写有误，正确应为“proved”）
