Laparoscopic partial adrenalectomy for bilateral pheochromocytomas in a boy with von Hippel-Lindau disease

被引:22
作者
Radmayr, C
Neumann, H
Bartsch, G
Elsner, R
Janetschek, G
机构
[1] Univ Innsbruck, Dept Urol, A-6020 Innsbruck, Austria
[2] Univ Freiburg, Dept Hypertens & Nephrol, D-7800 Freiburg, Germany
[3] Univ Munich, Dr Von Haunerschen Kinderspital, Dept Pediat, D-80337 Munich, Germany
关键词
pheochromocytoma von Hippel-Lindau laparoscopy; children;
D O I
10.1159/000020304
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objectives: In adults, increasing numbers of adrenalectomies for pheochromocytomas are performed laparoscopically. We report for the first time laparoscopic bilateral subtotal adrenalectomy for pheochromocytomas in an 8-year-old boy with von Hippel-Lindau disease. Methods, In July 1998, an 8-year-old boy with von Hippel-Lindau disease underwent laparoscopic adrenal-sparing surgery for bilateral pheochromocytomas. The boy presented with severe hypertension and two pheochromocytomas on both sides. Results: The child could be solely treated with laparoscopic adrenal-sparing surgery. The procedure was completed as planned. There were absolutely no intraoperative or postoperative complications. Postoperatively, catecholamine levels and hypertension went back to normal. At follow-up no residual tumor could be detected and no steroid replacement therapy was necessary. Conclusions: In experienced hands, laparoscopic adrenal-sparing surgery for pheochromocytomas is feasible and safe. Moreover, this minimal invasive approach represents an exceptional improvement in life quality, especially in children with von Hippel-Lindau disease since surgery will probably be necessary again and again in their future life. Copyright (C) 2000 S. Karger AG, Basel.
引用
收藏
页码:344 / +
页数:5
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