Advances in pheochromocytoma management in the era of laparoscopy

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Data
2007-11-01
Autores
Faria, Eliney F.
Andreoni, Cassio
Krebs, Rodrigo K.
Nascimento, Humberto
Goldman, Susan M.
Kater, Claudio
Ortiz, Valdemar
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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.
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Journal of Endourology. New Rochelle: Mary Ann Liebert Inc, v. 21, n. 11, p. 1303-1307, 2007.
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