Pheochromocytoma: a long-term follow-up of 24 patients undergoing laparoscopic adrenalectomy

Abstract

Purpose:- Materials and Methods:- Results: - Conclusions:-

Retroperitoneal laparoscopy rather than an open procedure for resection of pheochromocytomas could minimize intraoperative blood pressure fluctuations and transfusion events

“…Finally, our long-term follow-up results showed that patients achieved similar outcomes in terms of survival after either procedure, which was consistent with the long-term results of Castilho et al [9].…”

Laparoscopic Adrenalectomy for Removal of Unilateral Noninvasive Pheochromocytomas in 10 Dogs

“…In human medicine, early reports were skeptical of the procedure and a concern that greater tumor manipulation would precipitate greater hemodynamic instability during anesthesia was highlighted . These early data have been refuted by many more recent studies . Most of these studies have accepted the null hypothesis that there is no difference in hemodynamic instability in people undergoing laparoscopic adrenalectomy compared to those undergoing open adrenalectomy .…”

Has Laparoscopy Impacted the Indications for Adrenalectomy?

“…Although hospital duration (4.8 vs 3.6 days; P=0.03) and operative time (183 vs 157 min; P=0.01) were longer for pheochromocytoma lesions, morbidity, conversion rate, and other perioperative outcomes were similar between groups. Contemporary series from Castilho et al [11] and Tatsugmai et al [12] have further confirmed the surgical efficacy of laparoscopic adrenalectomy for pheochromocytoma as well as the long-term successful cure.…”