Document Detail

Endoscopic treatment of bilateral pheochromocytoma in MEN 2A syndrome: case report and review of the literature.
MedLine Citation:
PMID:  17915049     Owner:  NLM     Status:  MEDLINE    
The benefits of laparoscopic adrenalectomy for single adrenal lesion have been well documented in literature; less experience though has been reported with simultaneous bilateral laparoscopic adrenalectomy. This operation is indicated in case of primary hypercortisolism caused by bilateral adrenocortical hyperfunction, Cushing's disease after failure of pituitary surgery, ectopic adrenocorticotropic hormone (ACTH) production by a tumour inaccessible for surgical intervention, and pheochromocytoma when it occurs bilaterally in case of multiple endocrine neoplasia type 2A and 2B. Different laparoscopic approaches have been described to perform this operation, such as the "anterior" approach (transperitoneal), the "lateral" approach (transperitoneal and retroperitoneal), and the "posterior" approach (retroperitoneal). We report a case of bilateral laparoscopic adrenalectomy in a 33 years old female affected with bilateral pheochromocytoma due to multiple endocrine neoplasia type 2A treated with a bilateral transperitoneal laparoscopic adrenalectomy and disease free after 18 months follow-up.
D Iusco; L Sarli; D Di Mauro; V Violi; L Roncoroni
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Il Giornale di chirurgia     Volume:  28     ISSN:  0391-9005     ISO Abbreviation:  G Chir     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-04     Completed Date:  2007-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011768     Medline TA:  G Chir     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  363-6     Citation Subset:  IM    
Department of Surgical Sciences, Medical School, Parma University, Parma.
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MeSH Terms
Adrenal Gland Neoplasms / surgery*
Adrenalectomy / methods*
Laparoscopy* / methods
Multiple Endocrine Neoplasia Type 2a / surgery*
Peritoneum / surgery
Pheochromocytoma / surgery*

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