V4-13 LEFT-SIDED LAPAROSCOPIC PARTIAL ADRENALECTOMY FOR PHEOCHROMOCYTOMA

Abstract

You have accessJournal of UrologyAdrenal/Robotics1 Apr 2014V4-13 LEFT-SIDED LAPAROSCOPIC PARTIAL ADRENALECTOMY FOR PHEOCHROMOCYTOMA Omer Demir, Ozan Bozkurt, Tevfik Demir, Canan Altay, Mustafa Secil, and Adil Esen Omer DemirOmer Demir More articles by this author , Ozan BozkurtOzan Bozkurt More articles by this author , Tevfik DemirTevfik Demir More articles by this author , Canan AltayCanan Altay More articles by this author , Mustafa SecilMustafa Secil More articles by this author , and Adil EsenAdil Esen More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.1546AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail Introduction and Objectives Laparoscopic partial adrenalectomy or adrenal sparing surgery originated from the aim of preserving functioning gland in order to obviate the need for hormonal replacement and undesired side effects. A case of left-sided laparoscopic partial adrenalectomy for phechromocytoma and technical aspects are presented in this video. Methods A 54 year old female patient was referred to our hospital with a 4 cm left adrenal mass in ultrasonographic examination. She has been on medication for HT for 2 years and she was complaining of flushing and palpitation. Endocrinologic work-up consisted of plasma thyroid hormone levels, plasma catecholamine and basal cortisol levels, ACTH supression test, 24-hour urinary measurement of cortizol and catecholamines. She underwent PET-CT imaging for radiologic diagnosis. She was prescribed alpha-blocker therapy 1-month before surgery and left-sided laparoscopic partial adrenalectomy with lateral transperitoneal approach using 3 entry ports was performed. Intraoperative laparoscopic color doppler ultrasonography confirmed the viability and vascular supply of the remaining adrenal gland. Results Thyroid hormone levels and plasma catecholamine and basal cortisol levels were in normal ranges and ACTH suppression test was negative. 24-hour urinary measurement of homovanillic acid (HVA) level was slightly higher than normal levels with 10.73 mg/24h (Reference ranges: 0.5-6.2 mg/24h) whereas vanillylmandelic acide (VMA), metanephrine and normetanephrine levels were in normal ranges. PET-CT imaging supported the diagnosis of pheochromocytoma. Operation was performed under general anesthesia and the operation time was 45 minutes. No peroperative or postoperative complication was encountered and the patient was discharged one day after the surgery. Pathologic examination revealed pheochromocytoma. Conclusions Laparoscopic partial adrenalectomy might be attempted for excision of pheochromocytoma whenever feasible. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e554 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Omer Demir More articles by this author Ozan Bozkurt More articles by this author Tevfik Demir More articles by this author Canan Altay More articles by this author Mustafa Secil More articles by this author Adil Esen More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...