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• W1983024690 abstract "No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Jun 2001EXPERIENCE WITH RETROPERITONEAL LAPAROSCOPIC ADRENALECTOMY FOR PHEOCHROMOCYTOMA LAURENT SALOMON, REDOUANE RABII, MICHEL SOULIE, PATRICK MOULY, ANDRAS HOZNEK, ANTONY CICCO, FABIEN SAINT, WALID ALAME, PATRICK ANTIPHON, DOMINIQUE CHOPIN, PIERRE PLANTE, and CLEMENT-CLAUDE ABBOU LAURENT SALOMONLAURENT SALOMON More articles by this author , REDOUANE RABIIREDOUANE RABII More articles by this author , MICHEL SOULIEMICHEL SOULIE More articles by this author , PATRICK MOULYPATRICK MOULY More articles by this author , ANDRAS HOZNEKANDRAS HOZNEK More articles by this author , ANTONY CICCOANTONY CICCO More articles by this author , FABIEN SAINTFABIEN SAINT More articles by this author , WALID ALAMEWALID ALAME More articles by this author , PATRICK ANTIPHONPATRICK ANTIPHON More articles by this author , DOMINIQUE CHOPINDOMINIQUE CHOPIN More articles by this author , PIERRE PLANTEPIERRE PLANTE More articles by this author , and CLEMENT-CLAUDE ABBOUCLEMENT-CLAUDE ABBOU More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)66231-3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Although laparoscopic adrenalectomy has become the preferred surgical treatment of benign adrenal masses, for pheochromocytoma it is limited by concerns over hypertensive events related to early access to the adrenal vein. We report our experience with retroperitoneal laparoscopic adrenalectomy for pheochromocytoma. Materials and Methods: From January 1995 to December 1999, 21 retroperitoneal laparoscopic adrenalectomies (left 12 and right 9) were performed for symptomatic pheochromocytoma in 11 men and 9 women 17 to 68 years old (mean age 46). To our knowledge pheochromocytoma was always diagnosed by increased urinary catecholamine, computerized tomography, magnetic resonance imaging and 131iodine iobenguane scintigraphy. Results: There were no conversions to open surgery. The operating time ranged from 100 to 150 minutes (mean 116). Mean blood loss was 140 ml. (minimum 550), and none of the patients required transfusion. Hemorrhage due to adrenal vein injury occurred in 1 patient and was controlled intraoperatively. Average postoperative hospital stay was 3.4 days (range 1 to 12). The mean diameter of the excised masses was 38 mm. (range 15 to 70). Postoperative complications occurred in 4 cases, including hematoma in 1, trocar wound infections in 2 and eventration in 1 after 1 year. With a mean followup of 21.6 months (range 6 to 46), all patients had normal urinary catecholamine levels and 18 had normal blood pressure without treatment. Conclusions: Retroperitoneal laparoscopic adrenalectomy can be safely performed for small (less than 5 cm. diameter) pheochromocytoma. Retroperitoneal laparoscopy is a direct approach that allows the surgeon to control the adrenal vein first, thereby avoiding hypertensive events. References 1 : The adrenals. In: . Philadelphia: W. B. Saunders Co.1998: 2915. chapt. 96. Google Scholar 2 : Laparoscopic adrenalectomy in Cushing’s syndrome and Pheochromocytoma. N Engl J Med1992; 327: 1033. Google Scholar 3 : Transperitoneal laparoscopic versus open adrenalectomy for benign hyperfunctioning adrenal tumors: a comparative study. J Urol1995; 153: 1597. Link, Google Scholar 4 : Retroperitoneal adrenalectomy: open or endoscopic?. World J Surg1998; 22: 1246. Google Scholar 5 : Etude comparative entre la surrénalectomie laparoscopique et conventionnelle dans les phéochromocytomes. Ann Chir1998; 52: 346. Google Scholar 6 : Laparoscopic adrenalectomy: the preferred choice? A comparison to open adrenalectomy. J Urol1998; 160: 325. Link, Google Scholar 7 : Retroperitoneal laparoscopic adrenalectomy for functioning adrenal tumors: comparison with conventional transperitoneal laparoscopic adrenalectomy. J Urol1997; 157: 19. Link, Google Scholar 8 : Laparoscopic adrenalectomy: lessons learned from 100 consecutive procedures. Ann Surg1997; 226: 238. Google Scholar 9 : Laparoscopic adrenalectomy: the retroperitoneal approach. J Urol1998; 159: 1816. Link, Google Scholar 10 : Posterior retroperitoneoscopy as a new minimally invasive approach for adrenalectomy: results of 30 adrenalectomies in 27 patients. World J Surg1996; 20: 769. Google Scholar 11 : Technique and results of laparoscopic adrenalectomy. Eur Urol1996; 30: 475. Google Scholar 12 : Traditional versus laparoscopic surgery in the treatment of pheochromocytoma: a preliminary study. J Laparoendosc Adv Surg Tech A1997; 7: 167. Google Scholar 13 : La surrénalectomie laparoscopique dans les phéochromocytomes. Presse Med1998; 27: 359. Google Scholar 14 : Laparoscopic surgery for pheochromocytoma: adrenalectomy, partial resection, excision of paragangliomas. J Urol1998; 160: 330. Link, Google Scholar 15 : Surgical treatment of pheochromocytomas: laparoscopic or conventional?. Surg Endosc1999; 13: 35. Google Scholar 16 : Is laparoscopic adrenalectomy indicated for pheochromocytomas?. Surgery1996; 120: 1076. Google Scholar 17 : Hemodynamic changes and catecholamine release during laparoscopic adrenalectomy for pheochromocytoma. Anesth Analg1999; 88: 16. Google Scholar 18 : Laparoscopic approach to pheochromocytoma: hemodynamic changes and catecholamine secretion. World J Surg1996; 20: 762. Google Scholar 19 : Anesthetic aspects of laparoscopic and open adrenalectomy for pheochromocytoma. Urology2000; 55: 339. Google Scholar 20 : Laparoscopic resection of pheochromocytoma. Surg Endosc1994; 8: 906. Google Scholar 21 : Laparoscopic removal of pheochromocytoma. Why? When? and Who? (reflections on one case report). Surg Endosc1995; 9: 431. Google Scholar 22 : Comparison of three techniques for adrenalectomy. Br J Surg1997; 84: 679. Google Scholar 23 : Retroperitoneoscopic surgery is not associated with increased carbon dioxide absorption. J Urol1999; 162: 1268. Link, Google Scholar 24 : The impact of pneumoperitoneum, pneumoretroperitoneum and gasless laparoscopy on the systemic and renal hemodynamics. J Am Coll Surg1955; 181: 397. Google Scholar From the Department of Urology, Henri Mondor Hospital, Créteil and Department of Urology, Rangueil Hospital, Toulouse, France© 2001 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 165Issue 6 Part 1June 2001Page: 1871-1874 Advertisement Copyright & Permissions© 2001 by American Urological Association, Inc.Keywordspheochromocytomaadrenal gland neoplasmsadrenalectomylaparoscopyMetricsAuthor Information LAURENT SALOMON More articles by this author REDOUANE RABII More articles by this author MICHEL SOULIE More articles by this author PATRICK MOULY More articles by this author ANDRAS HOZNEK More articles by this author ANTONY CICCO More articles by this author FABIEN SAINT More articles by this author WALID ALAME More articles by this author PATRICK ANTIPHON More articles by this author DOMINIQUE CHOPIN More articles by this author PIERRE PLANTE More articles by this author CLEMENT-CLAUDE ABBOU More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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