Laparoscopic bilateral cortical-sparing adrenalectomy for pheochromocytoma / 中华内分泌外科杂志

ABSTRACT

Objective To investigate the operative indication,therapeutic effects and feasibility of laparoscopic bilateral cortical-sparing adrenalectomy for pheochromocytoma.Methods The clinical data of 9 cases of bilateral pheochromocytoma from Jan.2011 to Dec.2016 were retrospectively analyzed.The cases included 7 males and 2 females with a mean age of 40 years old,ranging from 22 to 58.CT showed all the 9 cases had bilateral adrenal tumors.Results All patients accepted laparoscopic bilateral cortical-sparing adrenalectomy for pheochromocytoma.All survived and had been followed up for 4 months to 6 years (median 3.2 years).All cases kept normal adrenal function and avoid long-term corticosteroid dependence.Conclusions Bilateral pheochromocytoma is rare and difficult to treat.Adrenal function protection under laparoscopic bilateral cortical-sparing adrenalectomy for pheochromocytoma is safe and effective for patients.This opertation can both completely resect bilateral adrenal tumors and avoid long-term corticosteroid dependence.