Cargando…

Laparoscopic and open surgery for pheochromocytoma

BACKROUND: Laparoscopic adrenalectomy is a promising alternative to open surgery although concerns exist in regard to laparoscopic treatment of pheocromocytoma. This report compares the outcome of laparoscopic and conventional (open) resection for pheocromocytoma particular in regard to intraoperati...

Descripción completa

Detalles Bibliográficos
Autores principales: Edwin, Bjørn, Kazaryan, Airazat M, Mala, Tom, Pfeffer, Per F, Tønnessen, Tor Inge, Fosse, Erik
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2001
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC57005/
https://www.ncbi.nlm.nih.gov/pubmed/11580870
http://dx.doi.org/10.1186/1471-2482-1-2
_version_ 1782120045623640064
author Edwin, Bjørn
Kazaryan, Airazat M
Mala, Tom
Pfeffer, Per F
Tønnessen, Tor Inge
Fosse, Erik
author_facet Edwin, Bjørn
Kazaryan, Airazat M
Mala, Tom
Pfeffer, Per F
Tønnessen, Tor Inge
Fosse, Erik
author_sort Edwin, Bjørn
collection PubMed
description BACKROUND: Laparoscopic adrenalectomy is a promising alternative to open surgery although concerns exist in regard to laparoscopic treatment of pheocromocytoma. This report compares the outcome of laparoscopic and conventional (open) resection for pheocromocytoma particular in regard to intraoperative hemodynamic stability and postoperative patient comfort. METHODS: Seven patients laparoscopically treated (1997–2000) and nine patients treated by open resection (1990–1996) at the National Hospital (Rikshospitalet), Oslo. Peroperative hemodynamic stability including need of vasoactive drugs was studied. Postoperative analgesic medication, complications and hospital stay were recorded. RESULTS: No laparoscopic resections were converted to open procedure. Patients laparoscopically treated had fewer hypertensive episodes (median 1 vs. 2) and less need of vasoactive drugs peroperatively than patients conventionally operated. There was no difference in operative time between the two groups (median 110 min vs. 125 min for adrenal pheochromocytoma and 235 vs. 210 min for paraganglioma). Postoperative need of analgesic medication (1 vs. 9 patients) and hospital stay (median 3 vs. 6 days) were significantly reduced in patients laparoscopically operated compared to patients treated by the open technique. CONCLUSION: Surgery for pheochromocytoma can be performed laparoscopically with a safety comparable to open resection. However, improved hemodynamic stability peroperatively and less need of postoperative analgesics favour the laparoscopic approach. In experienced hands the laparoscopic technique is concluded to be the method of choice also for pheocromocytoma.
format Text
id pubmed-57005
institution National Center for Biotechnology Information
language English
publishDate 2001
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-570052001-10-02 Laparoscopic and open surgery for pheochromocytoma Edwin, Bjørn Kazaryan, Airazat M Mala, Tom Pfeffer, Per F Tønnessen, Tor Inge Fosse, Erik BMC Surg Research Article BACKROUND: Laparoscopic adrenalectomy is a promising alternative to open surgery although concerns exist in regard to laparoscopic treatment of pheocromocytoma. This report compares the outcome of laparoscopic and conventional (open) resection for pheocromocytoma particular in regard to intraoperative hemodynamic stability and postoperative patient comfort. METHODS: Seven patients laparoscopically treated (1997–2000) and nine patients treated by open resection (1990–1996) at the National Hospital (Rikshospitalet), Oslo. Peroperative hemodynamic stability including need of vasoactive drugs was studied. Postoperative analgesic medication, complications and hospital stay were recorded. RESULTS: No laparoscopic resections were converted to open procedure. Patients laparoscopically treated had fewer hypertensive episodes (median 1 vs. 2) and less need of vasoactive drugs peroperatively than patients conventionally operated. There was no difference in operative time between the two groups (median 110 min vs. 125 min for adrenal pheochromocytoma and 235 vs. 210 min for paraganglioma). Postoperative need of analgesic medication (1 vs. 9 patients) and hospital stay (median 3 vs. 6 days) were significantly reduced in patients laparoscopically operated compared to patients treated by the open technique. CONCLUSION: Surgery for pheochromocytoma can be performed laparoscopically with a safety comparable to open resection. However, improved hemodynamic stability peroperatively and less need of postoperative analgesics favour the laparoscopic approach. In experienced hands the laparoscopic technique is concluded to be the method of choice also for pheocromocytoma. BioMed Central 2001-08-21 /pmc/articles/PMC57005/ /pubmed/11580870 http://dx.doi.org/10.1186/1471-2482-1-2 Text en Copyright © 2001 Edwin et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
spellingShingle Research Article
Edwin, Bjørn
Kazaryan, Airazat M
Mala, Tom
Pfeffer, Per F
Tønnessen, Tor Inge
Fosse, Erik
Laparoscopic and open surgery for pheochromocytoma
title Laparoscopic and open surgery for pheochromocytoma
title_full Laparoscopic and open surgery for pheochromocytoma
title_fullStr Laparoscopic and open surgery for pheochromocytoma
title_full_unstemmed Laparoscopic and open surgery for pheochromocytoma
title_short Laparoscopic and open surgery for pheochromocytoma
title_sort laparoscopic and open surgery for pheochromocytoma
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC57005/
https://www.ncbi.nlm.nih.gov/pubmed/11580870
http://dx.doi.org/10.1186/1471-2482-1-2
work_keys_str_mv AT edwinbjørn laparoscopicandopensurgeryforpheochromocytoma
AT kazaryanairazatm laparoscopicandopensurgeryforpheochromocytoma
AT malatom laparoscopicandopensurgeryforpheochromocytoma
AT pfefferperf laparoscopicandopensurgeryforpheochromocytoma
AT tønnessentoringe laparoscopicandopensurgeryforpheochromocytoma
AT fosseerik laparoscopicandopensurgeryforpheochromocytoma