目的：探讨经肾表层面机器人辅助腹腔镜手术治疗较大体积嗜铬细胞瘤的临床应用。方法：回顾性 分析河北大学附属医院泌尿外科于 2020年 5月—2021年 8月收治的 31例嗜铬细胞瘤患者的临床资料，其中男性 16例， 女性 15 例，年龄（35.6±16.1）岁；肿瘤直径（62.4±29.5）mm，左侧 17 例，右侧 14 例。所有患者采用经肾表层面 入路解剖性切除手术方式，机器人辅助经后腹腔途径行嗜铬细胞瘤切除术。观察手术时间、出血量、术后并发症、引 流管保留时间及术后随访。结果：31 例手术均获成功，平均手术时间（71.0±21.0）min，出血量（80.0±21.5）ml， 引流管保留时间（1.5±0.6）d，无明显术后并发症。术后病理均证实为嗜铬细胞瘤。术后随访 1~15 个月，均未见 肿瘤复发。结论：机器人辅助腹腔镜经后腹腔肾表层面大体积嗜铬细胞瘤解剖性切除在手术过程中可获得较大操作 空间，“脂肪裂”解剖标志清晰，出血少，创伤小，术中和术后并发症少，学习曲线较短，可在临床推广。

Objective: To investigate the clinical application of robot-assisted laparoscopic surgery via renal surface in the treatment of large pheochromocytoma. Methods: The clinical data of 31 patients with pheochromocytoma treated in the Department of Urology of the Affiliated Hospital of Hebei University from May 2020 to August 2021 were retrospectively analyzed. There were 16 males and 15 females, aged (35.6±16.1) years. The diameter of tumors was (62.4±29.5) mm, of which 17 cases on the left and 14 cases on the right. All patients underwent anatomical resection via the renal surface, and robotassisted retroperitoneal resection of pheochromocytoma was performed. The operative time, amount of blood loss, postoperative complications, retention time of drainage tube and postoperative follow-up were observed. Results: All surgeries were successfully completed, with the average operative time of (71.0±21.0)min, bleeding volume of (80.0±21.5)ml and drainage tube retention time of (1.5±0.6)d respectively. No obvious postoperative complications were found. All patients were confirmed as pheochromocytoma by postoperative pathology. No tumor recurrence was found in follow-up 1 to 15 months after surgery. Conclusion: Robot-assisted retroperitoneal laparoscopic resection of large pheochromocytoma via renal surface could achieve a large operation space, clear anatomic landmark of fat crack, as well as less bleeding, smaller trauma, less intraoperative and postoperative complications, shorter learning curve, which is worthy of promotion in clinical practice.

收稿日期：2021-09-10  录用日期：2022-06-18 

Received Date: 2021-09-10  Accepted Date: 2022-06-18 

基金项目：河北省保定市科技计划项目 （2041ZF164）

 Foundation Item: Science and Technology Plan Project of Baoding City, Hebei Province (2041ZF164) 

通讯作者：崔振宇，Email：cuizhenyu615@163.com 

Corresponding Author: CUI Zhenyu, Email: cuizhenyu615@163.com

 引用格式：马涛，崔振宇，宋士超，等 . 经肾表层面机器人辅助腹腔镜在大体积嗜铬细胞瘤切除术中的临床应用 [J]. 机器人外科学 杂志（中英文），2023，4（1）: 42-47.

 Citation: MA T, CUI Z Y, SONG S C, et al. Robot-assisted retroperitoneal laparoscopic resection of large pheochromocytoma via renal surface[J]. Chinese Journal of Robotic Surgery, 2023, 4(1): 42-47.

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