Laparoscopic Adrenalectomy for Pheochromocytoma in a Child
نویسندگان
چکیده
Pheochromocytoma is a catecholamine-secreting tumor of the adrenal medulla. It has wide and subtle range of clinical manifestations including sustained hypertension in about 1% of pediatric patients. Although laparoscopic adrenalectomy is the gold standard treatment method in adult patients, few reports have described this technique in children. We report a child with unilateral pheochromocytoma who presented with poor weight gain, polyuria and polydipsia. Diagnosis was based upon clinical and laboratory evaluation. She was treated successfully by laparoscopic adrenalectomy.
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گزارش سه مورد جراحی لاپاراسکوپیک توده آدرنال
When medical therapy is ineffective or does not exist for a particular adrenal disease, surgery becomes necessary. The introduction of laparoscopic adrenalectomy has revolutionized adrenal surgery and largely supplanted the open approach. In this series we introduced three cases of aldosterone producing adenoma and pheochromocytoma which underwent laparascopic adrenalectomy. To the best of ...
متن کاملOne hundred two patients with pheochromocytoma treated at a single institution since the introduction of laparoscopic adrenalectomy.
HYPOTHESIS Pheochromocytoma can be safely treated laparoscopically; "subclinical" pheochromocytoma is increasingly common. DESIGN Retrospective review. SETTING University hospital. PATIENTS Patients undergoing adrenalectomy for pheochromocytoma at our institution in 1994 to 2009. INTERVENTIONS Laparoscopic, hand-assisted, and open adrenalectomy. MAIN OUTCOME MEASURES Preoperative and ...
متن کاملLaparoscopic Cortical Sparing Adrenalectomy for Pediatric Bilateral Pheochromocytoma: Anesthetic Management
INTRODUCTION Pheochromocytoma is a catecholamine-secreting tumor, which is seen rarely in children. These tumors predominantly secrete norepinephrine and epinephrine. They might be familial and associated with hereditary tumors such as Von Hippel-Lindau syndrome and multiple endocrine neoplasia type II. CASE PRESENTATION The child might present with a spectrum of clinical manifestation includ...
متن کاملLaparoscopic Unilateral Total and Contralateral Subtotal Adrenalectomy for Bilateral Adrenocorticotropic Hormone-Secreting Pheochromocytoma: Report of a Rare Case
Background: Bilateral adrenal tumors are not common in clinical practice, but are an important source of ectopic adrenocorticotropic hormone (ACTH) secretion. Standard operative management for bilateral pheochromocytomas might dictate the removal of the involved adrenal gland and the removal of the contralateral adrenal gland. We present a case of bilateral ACTH-secreting pheochromocytoma treat...
متن کاملLaparoscopic adrenalectomy for pheochromocytoma-does size matter? A single surgeon comparative study
BACKGROUND Surgical difficulty in laparoscopic adrenalectomy for pheochromocytoma increases with tumor size. We compared single surgeon outcomes of laparoscopic adrenalectomy for pheochromocytomas in patients with tumors smaller or greater than 4 cm to assess safety of the procedure. METHODS A retrospective review was performed of laparoscopic adrenalectomies for pheochromocytoma by a single ...
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