pheochromocytoma
Conditions
Interventions
Experimental group:retroperitoneal laparoscopic surgery of massive pheochromocytoma using renal rotation method
Control group with routine retroperitoneal laparoscopic approach:Routine retroperitoneal laparoscopic resection of pheochromocytoma
Control group with routine transabdominal laparoscopic surgery:Routine transabdominal laparoscopic resection of pheochromocytoma
Sponsors
The First Hospital of Shanxi Medical University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients aged from 20 to 60; 2. The preoperative diagnosis of pheochromocytoma was clear; 3. Preoperative imaging examination (CT or MRI) showed that the maximum diameter (long diameter) of the tumor was = 10cm; 4. The use of drugs alone cannot keep the blood pressure stable at the normal level; 5. Fully prepared for expansion in accordance with the guidelines before operation (the preparation for expansion shall not be less than 1 month); 6. Agree and sign the informed consent form of the subject.
Exclusion criteria
Exclusion criteria: 1. Patients who cannot take care of themselves; 2. Bilateral or combined with ectopic pheochromocytoma; 3. Previous history of inflammatory infection of the posterior abdominal cavity or surgical operation; 4. Complicated with other serious basic diseases (such as diabetes, arrhythmia, heart failure, low pulmonary function, etc.); 5. Patients with a history of cerebral infarction or myocardial infarction within six months before operation; The preoperative volume expansion is not sufficient and the volume expansion index does not meet the requirements; 6. Change of operation mode during operation or incomplete follow-up data (for the selection of patients in the control group).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Blood pressure;Heart rate;BMI index;Hemoglobin;Biochemical indexes of adrenal gland function;Tumor length diameter;Intraoperative bleeding;Operation time;Use of vasoactive drugs during operation (dose and times);Intraoperative blood transfusion;Admission to ICU after operation (duration in ICU);Total postoperative wound drainage;Time length of indwelling wound drainage tube;Pain score;Time point of postoperative ambulation;Total length of hospitalization; | — |
Countries
China
Contacts
Public ContactXiaoming Cao
The First Hospital of Shanxi Medical University
Outcome results
None listed