Advances in pheochromocytoma management in the era of laparoscopy

Advances in pheochromocytoma management in the era of laparoscopy

Author Faria, Eliney F. Google Scholar
Andreoni, Cassio Google Scholar
Krebs, Rodrigo K. Google Scholar
Nascimento, Humberto Google Scholar
Goldman, Susan M. Google Scholar
Kater, Claudio Google Scholar
Ortiz, Valdemar Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Purpose: To understand the advances that were made in the management of pheochromocytoma since laparoscopy was initiated at our institution.Materials and Methods: Data for all patients who underwent surgical procedure for adrenal diseases had been recorded prospectively since September 2000, when laparoscopy was routinely initiated at our institution; all patients with a diagnosis of pheochromocytoma up to December 2005 had their data assessed (group 1). Charts for all patients with a diagnosis of pheochromocytoma who underwent surgery at our institution from 1990 to 1995 (group 2) were reviewed, and the data were compared with data from patients in group 1.Results: in group 1, 24 patients with pheochromocytoma underwent 26 procedures at our institution, including five patients with extra-adrenal tumor and one patient with bilateral tumor; 18 adrenalectomies (one bilateral) were performed, and two extra-adrenal tumors were removed using a laparoscopic approach. in group 2, ten open adrenalectomies were performed in 9 patients (1 bilateral). the patients who underwent laparoscopy for either adrenal or extra-adrenal tumor had shorter operative times and hospital stay and less bleeding.Conclusions: Pheochromocytoma is a complex disease with potentially severe complications. Laparoscopic adrenalectomy can be safely performed for removal of either adrenal or extra-adrenal tumors. Patients spend a shorter time in the critical care unit after the procedure.
Language English
Date 2007-11-01
Published in Journal of Endourology. New Rochelle: Mary Ann Liebert Inc, v. 21, n. 11, p. 1303-1307, 2007.
ISSN 0892-7790 (Sherpa/Romeo, impact factor)
Publisher Mary Ann Liebert Inc
Extent 1303-1307
Origin http://dx.doi.org/10.1089/end.2007.9884
Access rights Closed access
Type Article
Web of Science ID WOS:000251445600010
URI http://repositorio.unifesp.br/handle/11600/30139

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