Aoyama N, Sasagawa I, Iijima Y, Suzuki H, Kubota Y, Nakada T
Department of Urology, Yamagata University School of Medicine, Japan.
Int Urol Nephrol. 1998;30(4):377-84. doi: 10.1007/BF02550214.
We report a case of a large adrenal pheochromocytoma on the right side successfully removed with liver mobilization. Bilateral anterior subcostal incision with a ventral midline incision extending from the xiphoid and subsequent use of self-retraction system provided satisfactory exposure of liver and diaphragm. This incision is useful for easy mobilization of the liver and manipulation of the inferior caval vein in patients with large adrenal tumour on the right side.
我们报告一例右侧巨大肾上腺嗜铬细胞瘤经肝脏游离后成功切除的病例。采用双侧肋缘下切口并辅以自剑突向下延伸的腹正中切口，随后使用自动牵开系统，可充分暴露肝脏和膈肌。该切口有助于在右侧肾上腺肿瘤较大的患者中轻松游离肝脏并处理下腔静脉。
