48: Single Center Comparison of Laparoscopic and Open Surgery for Adrenal Pheochromocytoma

2007 ◽  
Vol 177 (4S) ◽  
pp. 17-17
Author(s):  
Monish Aron ◽  
Georges-Pascal Haber ◽  
Jose R. Colombo ◽  
Troy R. Gianduzzo ◽  
Jason M. Hafron ◽  
...  
Author(s):  
Mario Lima ◽  
Neil Di Salvo ◽  
Chiara Cordola ◽  
Simone D’Antonio ◽  
Michele Libri ◽  
...  

Vascular ◽  
2005 ◽  
Vol 13 (6) ◽  
pp. 343-349 ◽  
Author(s):  
Ramesh B. Velu ◽  
Moshe Halak ◽  
Mark Muhlmann ◽  
Steve Baker

The purpose of this article is to report a single-center experience in treating thoracic aortic pathology with stent grafts. This is a retrospective review of cases done within a period of 30 months. Between January 2002 and May 2004, 12 patients were treated in our institution with thoracic stent grafts ( n = 12) for various clinical conditions. There were seven men and five women. Three patients required emergency treatment ( n = 3), two for aortic transection and one for iatrogenic injury during lung biopsy. Others were treated electively ( n = 9). All patients were high risk for open surgery. There was one perioperative death, with a patient with multiple trauma succumbing to head injury 4 weeks after stent graft insertion. There was no incidence of paraplegia. Three patients underwent bypass surgery in the neck to achieve an adequate proximal seal zone prior to stent grafting. One patient with an aneurysm of the descending thoracic aorta required an extension limb below the original graft for an increase in sac size, possibly owing to endotension. Renal failure occurred in one patient and resolved without dialysis. One patient died 18 months after her procedure, possibly owing to aneurysm expansion. Stent grafts are a viable alternative to open surgery for thoracic aortic pathology in high-risk individuals. Visceral and spinal cord ischemia is less prevalent with stent grafts compared with open surgery. The short-term results are promising. Long-term follow-up is awaited. Stent grafts might have greater impact in the thoracic aorta than the abdominal aorta for which they were initially developed.


2000 ◽  
Vol 55 (3) ◽  
pp. 93-100 ◽  
Author(s):  
Lísias Nogueira Castilho ◽  
Paulo José de Medeiros ◽  
Anuar Ibrahim Mitre ◽  
Francisco Tibor Dénes ◽  
Antonio Marmo Lucon ◽  
...  

OBJECTIVE: To evaluate the results of the laparoscopic technique in the treatment of adrenal pheochromocytoma. METHOD: Ten patients, 7 men and 3 women, between 10 and 67 years of age (mean 48) with pheochromocytoma underwent transperitoneal laparoscopic adrenalectomy and were evaluated retrospectively, based on clinical, laboratory, and pathological diagnosis. In all cases there was a solid unilateral adrenal tumor, 5 on the left side and 5 on the right side, whose greater diameter varied from 7 to 80 mm (mean 32). Nine of the 10 patients were chronically hypertensive or had already had hypertensive crises. One patient was normotensive, but presented metabolic alterations suggestive of adrenergic hyperfunction. RESULTS: No deaths occurred in this series. There were two (20%) conversions to open surgery, one due to venous bleeding and one due to the difficulty of dissection behind the vena cava in a patient presenting a partially retro-caval tumor. Surgical time in the 8 non-converted cases ranged from 70 to 215 minutes (mean 136). One patient (10%) received blood transfusion, and another (10%) presented two complications - acute renal failure and a subcutaneous infection. Both had been converted to open surgery. None of the non-converted cases was transfused or presented complications. Hospital discharge occurred between the 2nd and 11th post-operative day (mean 3). The pathological exam of the surgical specimens confirmed the diagnoses of pheochromocytoma in all 10 cases, one of them associated with an aldosterone-producing cortical tumor. CONCLUSIONS: Laparoscopic adrenalectomy for selected patients presenting pheochromocytoma is feasible and provides good results.


2021 ◽  
Vol 10 (3) ◽  
pp. 1212-1221
Author(s):  
Xinguang Wang ◽  
Kun Tang ◽  
Zhiqiang Chen ◽  
Hailang Liu ◽  
Ejun Peng ◽  
...  

2017 ◽  
Vol 43 ◽  
pp. 144-150 ◽  
Author(s):  
Nikolaos Floros ◽  
Marios Papadakis ◽  
Markus Udo Wagenhäuser ◽  
Mansur Duran ◽  
Florian Simon ◽  
...  

2005 ◽  
Vol 53 (5) ◽  
pp. 291-294 ◽  
Author(s):  
G. Iannelli ◽  
M. Monaco ◽  
L. Di Tommaso ◽  
F. Piscione ◽  
P. Stassano ◽  
...  

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