Laparoscopic Adrenalectomy for a 6-cm Left Adrenal Pheochromocytoma with Needlescopic Instruments

2008 ◽  
Vol 22 (9) ◽  
pp. 1949-1952 ◽  
Author(s):  
Chun-Hou Liao ◽  
Shih-Chieh Chueh
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Adrenal Pheochromocytoma ◽  
Needlescopic Instruments

Laparoscopic Adrenalectomy Using Needlescopic Instruments for Adrenal Tumors Less Than 5cm in 112 Cases

2008 ◽  
Vol 54 (3) ◽  
pp. 640-646 ◽  
Author(s):  
Chun-Hou Liao ◽  
Ming-Kuen Lai ◽  
Hong-Yuan Li ◽  
Shyh-Chyan Chen ◽  
Shih-Chieh Chueh
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Adrenal Tumors ◽  
Needlescopic Instruments

CLIPLESS LAPAROSCOPIC ADRENALECTOMY WITH NEEDLESCOPIC INSTRUMENTS

2002 ◽  
Vol 167 (1) ◽  
pp. 39-43 ◽  
Author(s):  
SHIH-CHIEH CHUEH ◽  
JUN CHEN ◽  
SHYH-CHYAN CHEN ◽  
CHUN-HOU LIAO ◽  
MING-KUEN LAI
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Needlescopic Instruments

scholarly journals Pheochromocytoma treated by laparoscopic surgery

2000 ◽  
Vol 55 (3) ◽  
pp. 93-100 ◽  
Author(s):  
Lísias Nogueira Castilho ◽  
Paulo José de Medeiros ◽  
Anuar Ibrahim Mitre ◽  
Francisco Tibor Dénes ◽  
Antonio Marmo Lucon ◽  
...  
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Open Surgery ◽  
Clinical Laboratory ◽  
Vena Cava ◽  
Laparoscopic Technique ◽  
Surgical Time ◽  
Adrenal Pheochromocytoma ◽  
Venous Bleeding ◽  
Hypertensive Crises ◽  
The Right

OBJECTIVE: To evaluate the results of the laparoscopic technique in the treatment of adrenal pheochromocytoma. METHOD: Ten patients, 7 men and 3 women, between 10 and 67 years of age (mean 48) with pheochromocytoma underwent transperitoneal laparoscopic adrenalectomy and were evaluated retrospectively, based on clinical, laboratory, and pathological diagnosis. In all cases there was a solid unilateral adrenal tumor, 5 on the left side and 5 on the right side, whose greater diameter varied from 7 to 80 mm (mean 32). Nine of the 10 patients were chronically hypertensive or had already had hypertensive crises. One patient was normotensive, but presented metabolic alterations suggestive of adrenergic hyperfunction. RESULTS: No deaths occurred in this series. There were two (20%) conversions to open surgery, one due to venous bleeding and one due to the difficulty of dissection behind the vena cava in a patient presenting a partially retro-caval tumor. Surgical time in the 8 non-converted cases ranged from 70 to 215 minutes (mean 136). One patient (10%) received blood transfusion, and another (10%) presented two complications - acute renal failure and a subcutaneous infection. Both had been converted to open surgery. None of the non-converted cases was transfused or presented complications. Hospital discharge occurred between the 2nd and 11th post-operative day (mean 3). The pathological exam of the surgical specimens confirmed the diagnoses of pheochromocytoma in all 10 cases, one of them associated with an aldosterone-producing cortical tumor. CONCLUSIONS: Laparoscopic adrenalectomy for selected patients presenting pheochromocytoma is feasible and provides good results.

scholarly journals Salvage Technique for Intraoperative Hemorrhage during Laparoscopic Resection of Large Pheochromocytoma: A Case Report and Literature Review

2017 ◽  
Vol 9 (1) ◽  
pp. 27-31
Author(s):  
Reyaz M Singaporewalla ◽  
Daniel JK Lee ◽  
Yen P Tan
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Laparoscopic Adrenalectomy ◽  
Adrenal Mass ◽  
Laparoscopic Resection ◽  
Successful Outcome ◽  
Minimally Invasive Surgical ◽  
Adrenal Pheochromocytoma ◽  
Hand Assistance ◽  
Hand Port

ABSTRACT Aim We described the use of a hand-port assisted laparoscopic adrenalectomy for excising a large 10 cm vascular left adrenal pheochromocytoma. The useful technical tips and important pitfalls to avoid for a successful outcome are discussed in this article. Introduction A 64-year-old man who was investigated for microalbuminuria was found to have a 10-cm left adrenal mass. Blood investigation and imaging confirmed it to be a pheochromocytoma. Case report Initial mobilization of the adrenal mass was performed laparoscopically using two 5-mm ports in the epigastric. While dissecting the inferomedial pedicle, the aberrant adrenal vessel was injured and resulted in torrential bleeding. A gelport for hand assistance was inserted as a salvage approach for hemostasis. Conclusion Hand-port assisted laparoscopic adrenalectomy is a very practical and easy-to-adopt technique that preserves the minimally invasive surgical advantages in patients with large adrenal masses. Clinical significance: We advocate the use of hand-assisted laparoscopic adrenalectomy technique for complex pheochromocytoma as an alternative for surgeons with vast experience in laparoscopic adrenalectomy. How to cite this article Lee DJK, Tan YP, Singaporewalla RM. Salvage Technique for Intraoperative Hemorrhage during Laparoscopic Resection of Large Pheochromocytoma: A Case Report and Literature Review. World J Endoc Surg 2017;9(1):27-31.

scholarly journals Unusual Presentation of Pheochromocytoma with Polyphagia

2014 ◽  
Vol 6 (3) ◽  
pp. 113-114
Author(s):  
Bhargav PRK
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Young Girl ◽  
Unusual Presentation ◽  
Predominant Symptom ◽  
Adrenal Pheochromocytoma

ABSTRACT Pheochromocytoma is adrenal medullary tumor known to present in protean ways, especially in children. Here we describe a case of adrenal pheochromocytoma in young girl of 13 years presenting with polyphagia as a predominant symptom. She was successfully treated with laparoscopic adrenalectomy. How to cite this article Bhargav PRK. Unusual presentation of Pheochromocytoma with Polyphagia. World J Endoc Surg 2014;6(3):113-114.

CLIPLESS LAPAROSCOPIC ADRENALECTOMY WITH NEEDLESCOPIC INSTRUMENTS

2002 ◽  
pp. 39-43 ◽  
Author(s):  
SHIH-CHIEH CHUEH ◽  
JUN CHEN ◽  
SHYH-CHYAN CHEN ◽  
CHUN-HOU LIAO ◽  
MING-KUEN LAI
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Needlescopic Instruments

scholarly journals Laparoscopic adrenalectomy for large adrenal pheochromocytoma: a case report and discussion

2017 ◽  
Vol 4 (3) ◽  
pp. 1123
Author(s):  
Shwetank Prakash ◽  
Vaibhav Thakare ◽  
Anubhav Goel ◽  
Atiharsh Mohan
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Activity Level ◽  
Oral Feeding ◽  
Costal Margin ◽  
Anterior Axillary Line ◽  
Tumor Specimen ◽  
Adrenal Pheochromocytoma ◽  
Midclavicular Line ◽  
Lateral Decubitus ◽  
The Right

A 40-year-old patient who presented hypertension and hyperglyemia, on CECT showing 7x6.2x5 cm sized retroperitoneal mass lesion in left para-aortic region extending to suprarenal region, diagnosed as pheochromocytoma. Patients BP monitored hourly, started antihypertensive and insulin. After adequate control of blood pressure and blood sugar patient planned for laparoscopic adrenalectomy by lateral transperitoneal approach. GA and combined epidural spinal anesthesia given. The patient was placed in the right-lateral decubitus position with the left side up. The surgeon and assistant stand on the right side of the table. and 4 trocars were inserted. The first port is situated 2 cm below the costal margin at the midclavicular line. The lateral port is placed under direct visualization at the anterior axillary line. The remaining port was placed between the two port. Adrenal Vein bluntly dissected, the vein is carefully doubly ligated with hemlock clips and transacted between clips. The adrenal gland was retracted in a superolateral direction and the harmonic scalpel was used to continue dissection laterally. The specimen was retrieved via a small, 4 cm incision on lateral costal margin. Histopathology of tumor specimen confirmed diagnosis as pheochromocytoma. Laparoscopy offers a better anatomical exposure, shorter length of stay, a decrease in postoperative pain, faster return to preoperative activity level, improved cosmesis, and reduced blood loss, early to resumption of oral feeding.

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