Laparoscopic cortical sparing adrenalectomy for pediatric bilateral pheochromocytoma: anesthetic management

儿童双侧嗜铬细胞瘤腹腔镜皮质保留肾上腺切除术:麻醉管理

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Abstract

INTRODUCTION: Pheochromocytoma is a catecholamine-secreting tumor, which is seen rarely in children. These tumors predominantly secrete norepinephrine and epinephrine. They might be familial and associated with hereditary tumors such as Von Hippel-Lindau syndrome and multiple endocrine neoplasia type II. CASE PRESENTATION: The child might present with a spectrum of clinical manifestation including hypertension, headache, visual disturbances, and behavioral problems. A meticulous preoperative preparation is essential for a stable intraoperative and postoperative outcome. CONCLUSIONS: We described successful perioperative management of a child who underwent bilateral laparoscopic cortical sparing adrenalectomy and a repeated surgery for the residual tumor removal.

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