嗜铬细胞瘤是分泌儿茶酚胺的神经内分泌肿瘤，儿童嗜铬细胞瘤尤为少见。肿瘤分泌的大量儿茶酚胺类物质可引起严重的血流动力学紊乱，对心脏及全身循环系统会造成重大危害，其麻醉风险常超过手术风险。 儿童嗜铬细胞瘤围手术期血流学管理是难点，目前没有麻醉管理指南，因此只能通过病例报道不断积累该类疾病的麻醉经验。本研究报道 1 例机器人辅助儿童嗜铬细胞瘤切除术患者采用 Flotrac/Vigileo 系统监测血流动力学的麻醉管理经验。

Pheochromocytoma is a kind of neuroendocrine tumor that originated from chromaffin cells of the adrenal medulla, which is very rare in children. It could secrete a large number of catecholamines, including epinephrine, norepinephrine and dopamine, which could cause severe hemodynamic disorder and affect heart and circulatory system badly. Perioperative blood management is very important in children with pheochromocytoma. There is no anesthesia management guideline for pheochromocytoma surgery for now, thus accumulation of related anesthesia experience is very important. A case of robotassisted excision of pheochromocytoma for a child monitored by Flotrac/Vigileo system was reported in this paper.

收稿日期：2022-01-13  录用日期：2022-10-24 

Received Date: 2022-01-13  Accepted Date: 2022-10-24 

通讯作者：吕洁，Email：63699928@qq.com 

Corresponding Author: LYU Jie, Email: 63699928@qq.com 

引用格式：陈余，吕洁，杨剑，等 . 机器人辅助儿童嗜铬细胞瘤切除术麻醉管理一例报道 [J]. 机器人外科学杂志（中英文），2023， 4（6）：612-615. 

Citation: CHEN Y, LYU J, YANG J, et al. Anesthesia management in robot-assisted excision of pheochromocytoma for a child: a case report [J]. Chinese Journal of Robotic Surgery, 2023, 4(6): 612-615.

[1] d e Tersant M , GénéréL , Freyçon C , et al. Pheochromocytoma and paraganglioma in children and adolescents: experience of the French Society of Pediatric Oncology (SFCE) [J]. J Endocr Soc, 2020, 4(5): bvaa039. 

[2] Suehiro K, Tanaka K, Matsuura T, et al. The VigileoFloTrac™ system: arterial waveform analysis for measuring cardiac output and predicting fluid responsiveness: a clinical review[J]. J Cardiothorac Vasc Anesth, 2014, 28(5): 1361-1374. 

[3] Weinberg L, Mackley L, Ho A, et al. Impact of a goal directed fluid therapy algorithm on postoperative morbidity in patients undergoing open right hepatectomy: a single centre retrospective observational study[J]. BMC Anesthesiol, 2019, 19(1): 135. 

[4] Andolfi C, Kumar R, Boysen W R, et al. Current status of robotic surgery in pediatric urology[J]. J Laparoendosc Adv Surg Tech A, 2019, 29(2): 159-166. 

[5] MA W M, MAO Y X, ZHUO R, et al. Surgical outcomes of a randomized controlled trial compared robotic versus laparoscopic adrenalectomy for pheochromocytoma[J]. Eur J Surg Oncol, 2020, 46(10 Pt A): 1843-1847.