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目的 探讨高嗜铬细胞瘤手术治疗方法。 方法 分析嗜铬细胞瘤 89例的手术方法所取径路。 结果 39例行第 11肋间切口 ,15例行第 10肋间切口 ,14例行腹部正中切口 ,9例行胸腹联合切口 ,5例行腹部肋下斜切口 ,3例行下腹正中切口 ,3例行后外侧切口。 1例行腹腔镜手术。 结论 ( 1)大部分定位明确肾上腺嗜铬细胞瘤 ,拟用 11肋间切口或 10肋间切口。 ( 2 )巨大嗜铬细胞瘤或与大血管关系紧密的嗜铬细胞瘤 ,拟用腹部正中切口 ,必要时胸腹联合切口。 ( 3)多发性嗜铬细胞瘤或肾上腺外嗜铬细胞瘤 ,行腹部正中切口
Objective To investigate the surgical treatment of high pheochromocytoma. Methods Analysis of 89 cases of pheochromocytoma surgical approach taken. Results Thirteen intercostal incisions were performed in 39 cases, intercostal incisions were performed in 15 cases, interphalangeal incisions in 14 cases, thoracoabdominal incisions in 9 cases, inferior oblique incisions in 5 cases, 3 cases after the lateral incision. A routine laparoscopic surgery. Conclusions (1) Most of the adrenal pheochromocytomas are located clearly, and 11 intercostal incisions or 10 intercostal incisions are proposed. (2) huge pheochromocytoma or pheochromocytoma closely associated with the large blood vessels, intended to use the incision in the middle of the abdomen, if necessary, thoracoabdominal incision. (3) Multiple pheochromocytoma or extra-adrenal pheochromocytoma, incision in the middle of the abdomen