Laparoscopic adrenalectomy for large unilateral pheochromocytoma: Experience in a large academic medical center

Kyle A. Perry, Raphael El Youssef, Thai H. Pham, Brett C. Sheppard

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Background Laparoscopic adrenalectomy is the treatment of choice for most adrenal lesions. Concerns have persisted about its application to large pheochromocytomas due to reports of hemodynamic instability, difficult dissection, and tumor spillage. Methods Thirty patients underwent laparoscopic adrenalectomy for unilateral pheochromocytoma between 1998 and 2006. Outcome measures including operative time, blood loss, intraoperative hemodynamic instability, conversion rate, complications, and disease recurrence were analyzed based on tumor size. Results Twenty-two patients had small tumors and eight had large lesions. These groups did not differ in terms of operative time, blood loss, conversion rate, length of stay or complication rate. Intraoperative hemodynamic instability occurred in 56.7% of cases, but was not different between groups. There were no recurrences in either group. Conclusions Laparoscopic adrenalectomy is a safe and effective treatment for large pheochromocytomas. Intraoperative hemodynamic instability remains a frequent occurrence regardless of tumor size. There were no cases of disease recurrence or iatrogenic pheochromocytosis.

Original languageEnglish (US)
Pages (from-to)1462-1467
Number of pages6
JournalSurgical Endoscopy
Volume24
Issue number6
DOIs
StatePublished - Jun 2010

Keywords

  • Adrenalectomy
  • Laparoscopic adrenalectomy
  • Laparoscopy
  • Pheochromocytoma

ASJC Scopus subject areas

  • Surgery

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