Laparoscopic and open surgery for pheochromocytomaReport as inadecuate

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BMC Surgery

, 1:2

First Online: 21 August 2001Received: 05 May 2001Accepted: 21 August 2001


BackroundLaparoscopic 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.

MethodsSeven 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.

ResultsNo 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.

ConclusionSurgery 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.

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Author: Bjørn Edwin - Airazat M Kazaryan - Tom Mala - Per F Pfeffer - Tor Inge Tønnessen - Erik Fosse


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