Adrenalectomía laparoscópica bilateral sincrónica en feocromocitoma bilateral

Abstract

Bilateral laparoscopic synchronous adrenalectomy in bilateral pheochromocytoma: experience in 8 patients Aim: To evaluate 8 cases of bilateral pheochromocytoma and laparoscopic synchronous treatment. Patients and Methods: From May 1999 to May 2010, 8 patients with bilateral pheochromocytoma were found. A complete preoperative workup was done. Results: We perform 8 transperitoneal laparoscopic bilateral synchronous adrenalectomy. There was no open converted procedure. Mean operative time was 184.37 min. (range 95 to 300 min). Mean hospital stay was 3.8 days (range 3 to 5 days). Mean blood loss was 191.25 ml (range 0 to 500 min). In 7 cases the histopathological result was of pheochromocytoma and 1 as a malignant pheochomocytoma based on its histology. Conclusions: With very well establish diagnostic disease, an appropriate anesthetic strategy and as surgical skills, laparoscopic bilateral synchronic adrenalectomy is a feasible and safe surgical technique for bilateral pheochromocytomas.

Total versus partial adrenalectomy in bilateral pheochromocytoma – a systematic review and meta-analysis

“…Seven studies analyzed only patients with bilateral PPGL, both with sporadic and hereditary tumors ( 2 , 3 , 7 , 34 – 37 ). Two authors analyzed data of patients with bilateral PPGL, all of which had a genetic background ( 36 , 38 ).…”

“…The contribution of heredity among the remaining studies on bilateral PPGL ranged from 50 to 96% ( 3 , 34 ). RET was the most frequently mutated gene in hereditary PPGL ( 2 , 3 , 7 , 9 , 12 – 14 , 21 , 23 , 27 – 29 , 31 – 38 ).…”