Anesthetic management of laparoscopic pheochromocytoma surgery: A case report
Hakan Akelma 1 * , Zeynep BaysalYıldırım, Haktan Karaman, Abdullah Oğuz, Gönül Ölmez Kavak, Abdulmenap Güzel, Erdal Doğan
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1 Dicle Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon AD, Diyarbakır, Turkey* Corresponding Author

Abstract

Pheochromocytoma is a neuroendocrine tumor of the adrenal medulla chromaffin cells. It has a variable clinic indicating symptoms such as hypertension, headache, sweating, palpitations, and anxiety. Determination of vanillylmandelic acid in urine and metanephrines are accepted as the most sensitive tests for diagnosis. Computerized tomography and magnetic resonance imaging cad be used for tumor localization. Anesthetic induction and surgical manipulations usually lead to the catastrophic release of catecholamines. Thus, accurate preoperative pharmacological preparation is vital in these patients. Treatment is a complete surgical resection of the primary tumor and, if possible, metastases after banning dangerous fluctuations in hemodynamic through α-blockers. Today, laparoscopic adrenalectomy has begun to replace open surgery as a standard treatment method in many adrenal diseases.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

J Clin Exp Invest, 2014, Volume 5, Issue 2, 316-319

https://doi.org/10.5799/ahinjs.01.2014.02.0411

Publication date: 11 Jun 2014

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Article Downloads: 3756

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