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Anesthetic management of laparoscopic pheochromocytoma surgery: A case report

机译：腹腔镜嗜铬细胞瘤手术的麻醉处理：一例

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Pheochromocytoma is a neuroendocrine tumor of the adrenal medulla chromaffin cells. It has a variable clinic indicating symptoms such as hypertension, headache, sweating, palpitations, and anxiety. Determination of vanillylmandelic acid in urine and metanephrines are accepted as the most sensitive tests for diagnosis. Computerized tomography and magnetic resonance imaging cad be used for tumor localization. Anesthetic induction and surgical manipulations usually lead to the catastrophic release of catecholamines. Thus, accurate preoperative pharmacological preparation is vital in these patients. Treatment is a complete surgical resection of the primary tumor and, if possible, metastases after banning dangerous fluctuations in hemodynamic through α-blockers. Today, laparoscopic adrenalectomy has begun to replace open surgery as a standard treatment method in many adrenal diseases. J Clin Exp Invest 2014; 5 (2): 443-446
机译：嗜铬细胞瘤是肾上腺髓质嗜铬细胞的神经内分泌肿瘤。它的诊所不固定，可以指示诸如高血压，头痛，出汗，心和焦虑症等症状。尿液和间苯肾上腺素的测定是最灵敏的诊断方法。计算机断层扫描和磁共振成像cad可用于肿瘤定位。麻醉诱导和手术操作通常导致儿茶酚胺的灾难性释放。因此，准确的术前药理准备对于这些患者至关重要。治疗是对原发肿瘤的完全手术切除，并且如果可能的话，在通过α-受体阻滞血流动力学危险波动后进行转移。如今，腹腔镜肾上腺切除术已开始取代开放手术，成为许多肾上腺疾病的标准治疗方法。 2014年《临床投资杂志》; 5（2）：443-446

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