Anesthetic Management of Robotic Adrenalectomy for Pheochromocytoma: A Case Report and Discussion

Abstract

Pheochromocytomas may secrete a multitude of vasoactive, chronotropic, and inotropic mediators such as norepinephrine and epinephrine. Consequently, these substrates may cause significant hemodynamic variation in the perioperative setting requiring careful preoperative, intraoperative, and postoperative care. In this report, we examine the case of a female patient in her 60s presenting for robotic adrenalectomy for pheochromocytoma. We then review the different stages of management of the patient throughout the perioperative period and the anesthetic and surgical considerations in managing each stage.