Initially, laparoscopic adrenalectomy was applied to very small benign lesions such as aldosteronomas. With increasing experience, larger benign adenomas were tackled (see also Chapters 35 and 36). Because of uncertainties about the effects of pneumoperitoneum on catechol excretion, pheochromocytomas were among the last adrenal tumors to be resected laparoscopically. Questions remain about the best approach when bilateral pheochromocytomas must be removed. This chapter addresses those issues.
KeywordsLaparoscopic Approach Adrenal Mass Laparoscopic Adrenalectomy Adrenal Vein Bilateral Adrenalectomy
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- Bjorn E, Airazat K, Mala T, Pfeffer P, Tonnessen T, Fosse E. Laparoscopic and open surgery for pheochromocytomas. BMC Surg 2001;1:1471–1475.Google Scholar
- Neuman H, Reincke M, Bender B, Elsner R, Gunter J. Preserved adrenocortical function after laparoscopic bilateral adrenal sparing surgery for hereditary pheochromocytoma. J Clin Endocrinol Metab 1999;84:2601–2610.Google Scholar
- Nisiro D, Juries J, Legrans M, Lamy H. Hemodynamic changes during laparoscopic cholecystectomy. Anesth Analg 1992;76:1067–1071.Google Scholar
- Prinz R. A comparison of laparoscopic and open adrenalectomies. Arch Surg 1995; 114:1126–1131.Google Scholar