Retroperitoneoscopic excision of phaeochromocytoma

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Haemodynamic changes during retroperitoneoscopic adrenalectomy for phaeochromocytoma.

Surgical removal of phaeochromocytoma may be accompanied by acute cardiovascular changes. We report the haemodynamic changes in seven patients with retroperitoneal laparoscopic adrenalectomy for phaeochromocytoma. Transient hypertension (systolic pressure (SBP) > 160 mm Hg) was observed in all patients during manipulation of the tumour, in two patients during pneumoretroperitoneum insufflation,...

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Phaeochromocytoma and Paraganglioma Excision Involving the Great Vessels

OBJECTIVE/BACKGROUND Phaeochromocytomas and paragangliomas are vascular neuroendocrine tumours distributed between the neck and the pelvis and may be associated with catecholamine secretion. The aim of the study was to describe the complex surgical management required to excise these tumours when in close proximity to the great vessels (aorta and vena cava). METHODS This was a retrospective c...

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Adrenal insufficiency in a child following unilateral excision of a dual-hormone secreting phaeochromocytoma

UNLABELLED Phaeochromocytomas are a rare clinical entity, with dual hormone-secreting lesions particularly uncommon, seen in <1%. ACTH is the most common hormone co-produced, and is potentially lethal if not diagnosed. We present the case of a previously well 10-year-old boy, who presented acutely with a hypertensive crisis and was found to have a unilateral, non-syndromic phaeochromocytoma. Me...

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Retroperitoneoscopic adrenalectomy in pheochromocytoma

Since the first laparoscopic adrenalectomy, the technique has evolved and it has become the standard of care for many adrenal diseases, including pheochromocytoma. Two laparoscopic accesses to the adrenal have been developed: transperitoneal and retroperitoneal. Retroperitoneoscopic adrenalectomy may be recommended for the treatment of pheochromocytoma with the same peri-operative outcomes of t...

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Retroperitoneoscopic nephrectomy in benign pathology.

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2002

ISSN: 0007-0912

DOI: 10.1093/bja/aef519