Objective To investigate the
efficacy and
safety of 3D-
laparoscopic surgery in adrenalpheochromocytomas /
paragangliomas.
Methods From December 2012 to July 2014,23 cases of adrenal
pheochromocytomas/
paragangliomas were treated by 3D-
laparoscopic surgery.Among them,7 cases were
male and 16 cases were
female,whose mean age are 47 (32-68) years old.Their clinical symptoms including sustained
hypertension in 11 cases,intermittent
hypertension in 8 cases,sustained
hypertension with intermittent progression in 2 cases and asymptom in 2 cases.All
tumors were diagnosed by endocrine examination,image test and
nuclear medicine.Mean diameter of
tumors are 8 cm,ranged from 3-14cm.In order to adjust the
blood pressure,
patients took α-receptor blocker for 2-4 weeks preoperatively.Under the
general anesthesia,19
patients received the 3D-
laparoscopic surgery via retroperitoneal approach and 4 cases received the
procedure via peritoneal approach.Results All operations were completed successfully.There were no major
intraoperative complications.Mean operating
time was (78 ± 21) min and mean estimated
blood loss was (54.8 ± 36.3) ml.Mean
hospital stay after operation was (3.8 ± 1.4) days.The pathological
diagnosis included
pheochromocytomas in 15 cases and
paragangliomas in 8 cases.During the 3 to 18 months following up,no
recurrence or
metastasis was found in this study.Conclusions 3D-
laparoscopic surgery has obvious advantage in spatial
location and the sense of depth for adrenal
pheochromocytomas /
paragangliomas,which shortens the operation
time and increase the
safety obviously.