Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Pheochromocytoma surgery
Introduction
Overview
Overview
Surgery is the mainstay of treatment for pheochromocytoma. Adrenalectomy, laparoscopic transabdominal and retroperitoneal approaches have been used successfully for non-metastatic abdominal pheochromocytomas.
Indications
Indications
- The mainstay of treatment for pheochromocytoma is surgery. Surgical resection is usually done for patients with either:
- Benign localized tumor
- Unilateral pheochromocytoma- Unilateral adrenalectomy
- Bilateral pheochromocytomas- cortical-sparing adrenalectomy.[1]
Surgery
Surgery
- Surgery is the mainstay of treatment for pheochromocytoma.
Adrenalectomy
- Two approaches have been used successfully for non-metastatic abdominal pheochromocytomas:
- There are less complications associated with laparoscopic surgery than with open surgery.
- Major intraoperative complications include:
- Intraoperative tumor capsule rupture
- Hypertensive crisis
- Myocardial infarctions
- Cerebrovascular hemorrhages
- Hemodynamic instability after tumor resection.
- Hypoglycemia [3]
- Severe hypotension [4]
Contraindications
Contraindications
Surgery is the mainstay of treatment for pheochromocytoma, even if it is asymptomatic.
References
References
- ↑ Lee JE, Curley SA, Gagel RF, Evans DB, Hickey RC (1996). “Cortical-sparing adrenalectomy for patients with bilateral pheochromocytoma”. Surgery. 120 (6): 1064–70, discussion 1070-1. PMID 8957496.
- ↑ Nehs MA, Ruan DT (2011). “Minimally invasive adrenal surgery: an update”. Curr Opin Endocrinol Diabetes Obes. 18 (3): 193–7. doi:10.1097/MED.0b013e32834693bf. PMID 21494137.
- ↑ Rafat C, Zinzindohoue F, Hernigou A, Hignette C, Favier J, Tenenbaum F; et al. (2014). “Peritoneal implantation of pheochromocytoma following tumor capsule rupture during surgery”. J Clin Endocrinol Metab. 99 (12): E2681–5. doi:10.1210/jc.2014-1975. PMID 25188716.
- ↑ Flávio Rocha M, Faramarzi-Roques R, Tauzin-Fin P, Vallee V, Leitao de Vasconcelos PR, Ballanger P (2004). “Laparoscopic surgery for pheochromocytoma”. Eur Urol. 45 (2): 226–32. PMID 14734011.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2] Mohammed Abdelwahed M.D[3]