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Volume 1 Issue 1
Jul.  2010
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Han-zhong LI, Jin WEN, Zhi-gang JI, He XIAO, Wei-gang YAN, Wei-feng XU, Zheng-pei ZENG, Yu-guang HUANG, Da-wei LIU. Laparoscopic Surgery for Adrenal Pheochromocytoma and Paraganglioma:Report of 211 Cases[J]. Medical Journal of Peking Union Medical College Hospital, 2010, 1(1): 72-76.
Citation: Han-zhong LI, Jin WEN, Zhi-gang JI, He XIAO, Wei-gang YAN, Wei-feng XU, Zheng-pei ZENG, Yu-guang HUANG, Da-wei LIU. Laparoscopic Surgery for Adrenal Pheochromocytoma and Paraganglioma:Report of 211 Cases[J]. Medical Journal of Peking Union Medical College Hospital, 2010, 1(1): 72-76.
shu

Laparoscopic Surgery for Adrenal Pheochromocytoma and Paraganglioma:Report of 211 Cases

  • 1.

    Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, China

  • 2.

    Department of Endocrinology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, China

  • 3.

    Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, China

  • 4.

    Intensive Care Unit, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, China

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  • Corresponding author:

    LI Han-zhong Tel; 010-65296035, E-mail:lihanzhong@medmails.com.cn

  • Received Date: March 23, 2010
  • Issue Publish Date: July 29, 2010
    Graphical Abstract
    • Abstract
  •   Objective  To explore the effectiveness and safety of laparoscopic surgery in treating adrenal pheochromocytomas and paragangliomas.
      Methods  The clinical data of 211 patients with pathologically confirmed adrenal pheochromocytomas (n=170) or paragangliomas (n=41) (ranges 2-16 cm in diameter) treated with laparoscopic surgery in our center from 2003 to 2010 were retrospectively reviewed. Endocrine examinations, ultrasound, CT, MRI, and 131I MIBG were performed before surgery. Patients also received α-receptor blocker for 2-4 weeks preoperatively.
      Results  All the operations were successfully performed, with a mean operating time of (97±29) min (60-170 min) and a mean estimated blood loss of (84.6±56.3) ml (15-250 ml). The mean hospital stay after operation was (4.9±1.6) days (3-7 days). No major intraoperative complication was noted. Patients were followed up for 3-84 months, and 12 experienced recurrences, which were further diagnosed as malignant tumors.
      Conclusions  Surgery is required once a diagnosis of adrenal pheochromocytoma or paraganglioma is confirmed. Laparoscopic surgery is a safe and minimally invasive procedure for adrenal pheochromocytomas and paragangliomas.
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    • References (12)
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