Pheochromocytoma Damanhour teaching hospital experience

Pheochromocytoma has low incidence of 2-8 case per million persons annually, but it is a lethal disease when it is functioning and undiagnosed. It constitutes 0.1% to 1% of hypertensive patients that is curable by surgery. Our study included twelve patients operated upon at our institute in the last 3 years. Two cases were none functioning; one case of them was presented by internal hemorrhage due to tumor rupture. There were 8 males and 4 females. One child has 10 years old. Two cases were extra adrenal. Three patients presented to us with a mass without hypertension and diagnosed post operatively. Preoperative preparation was done using alpha blocker and beta blocker until the hypertension became normalized. lntra operative and post operative control of blood pressure with caring our patients in ICU till the condition became stable. No mortality or significant morbidity had occurred. Post operative normalization of blood pressure had been achieved in all patients

Elective hepatic resection

Improvements in morbidity and mortality for liver resection have followed a better understanding of the hepatic anatomy and physiology accompanied by some technical innovations. Fourteen cases of elective hepatic resection were done for different pathological conditions of the liver; these cases included five cases of benign lesions, eight cases of primary hepatocellular carcinoma [HCC] and one case of liver metastasis from colorectal carcinoma. Anatomical resection in the form of lobotomy or segmentectomy was performed in 11 cases and non- anatomical resection in the form of wedge resection or enucleation was done in another three cases. The results were encouraging