Compared The Retroperitoneal Laparoscopic Adrenalectomy With Partial Adrenalectomy For Pheochromocytoma Patients Postoperative Recovery And The Influence Of Blood Pressure

Objective:Laparoscopic technique has been widely used in surgical treatment of adrenal tumor diseases.The adrenal pheochromocytoma indication from the latest urology disease diagnosis and treatment guidelines for patients is not clear.In this paper, through collecting adrenal pheochromocytoma patients data,to compare the retroperitoneal laparoscopic adrenalectomy with partial adrenalectomy for pheochromocytoma patients postoperative recovery and the influence of blood pressure.To discuss what kind of operation in treatment of adrenal pheochromocytoma way has better clinical curative effect.Materials and Methods:Collected 52 cases of patients with unilateral adrenal pheochromocytoma from Qinghai University Affiliated Hospital between in January 2010 and October 2015,and rowed after laparoscopic surgery treatment and surgical removal of tissue pathological adrenal pheochromocytoma.Accorded to the surgical treatment, these patients can be divided into two groups: A: unilateral reserve unit of adrenal resection group. B: total excision of the unilateral adrenal group.Compared two groups of patients with extubation time, discharge time and the change of blood pressure index.Results:By analyzing the data comparison total excision of the adrenal gland and preserving unit adrenalectomy group patients postoperative blood pressure change, no statistical significance(P > 0.05).Two groups of operation time has no statistical significance(P > 0.05).Intraoperative blood pressure rising time is different(P < 0.05).Occurred on the two groups of patients with postoperative cortisol decreased(P < 0.05), and then slowly pick up.Postoperative extubation time, length of hospital stay compared with statistical significance(P < 0.05). Cases of postoperative complications in patients with less, group B compared with group A prompt P < 0.05, there are differences between the results are comparable.Which retain resection in 1 case of adrenal unit tumor resection difficult, intraoperative blood pressure fluctuate wildly, adrenal crisis, transit adrenal full cut, postoperative intensive medicine therapy, in a stable condition after urological surgical treatment.Conclusions:1. After laparoscopic total excision of the adrenal gland and reserve units adrenalectomy group patients postoperative blood pressure change, operation time, no significant difference. 2. After laparoscopic downward reserve units adrenal resection in patients with postoperative hospital stay is shorter;Line of patients with total excision of the adrenal decannulation time is short, said local trauma surgery smaller and faster recovery.3. The two kinds of operation method can be a certain risk of complications, short ecg disorders(adrenal crisis, infection, anemia), total excision of the statistical comparison can be concluded that the adrenal group of patients with postoperative complications is more likely to be slightly lower, curative effect is better. 4. Keep the unit adrenalectomy group increase blood pressure in the operation time is longer, more clear. 5. Two kinds of operation method can cause the loss of plasma cortisol, about 4 days after the surgery can restore to preoperative levels.