SAGES Web Quiz #30 -- Laparoscopic Adrenalectomy for Pheochromocytoma

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1. The options for adrenalectomy in the treatment of pheochromocytoma include
a) midline laparotomy
b) flank incision through the 11th rib
c) totally extraperitoneal laparoscopic resection
d) trans-peritoneal laparoscopic resection
e) all of the above
f) Don't Know

2. The laparoscopic approach to adrenalectomy for pheochromocytoma is:
a) Only valid for unilateral disease
b) Not possible in tumors less than 6 centimeters in diameter
c) A physiologic nightmare for the anesthesiologists
d) Valid in selected centers
e) Possible only in conjunction with IRB-approved clinical trials
f) Don't Know

3. Using strict semantics, the term "laparoscopic adrenalectomy" means:
a) Removal of an adrenal gland or glands through the flank using a viewing instrument.
b) Removal of one or both adrenal glands using remote-viewing surgery
c) Video-assisted minimal-access surgery to remove the adrenal gland(s)
d) Ancient Greco-Roman techniques adapted to current technology in the removal of the adrenal gland(s)
e) Trans-peritoneal removal of the adrenal gland(s) using endoscopic surgery methods
f) Don't Know

4. True or False: There have been over 350 cases of laparoscopic adrenalectomy for pheochromocytoma reported so far in the English scientific literature.
a) True
b) False

5. Laparoscopic adrenalectomy for pheochromocytoma has been performed on every continent, except:
a) Europe
b) South America
c) Asia
d) Australia
e) Antartica
f) Don't Know

6. Helpful techniques in the trans-flank laparoscopic adrenalectomy for pheochromocytoma include:
a) Isolation and ligation of the adrenal vein(s) early in the dissection
b) Trans-flank ultrasonography in the O.R. just prior to initial trocar placement
c) Laparoscopic ultrasound +/- Doppler during the procedure
d) Creation of a space within Gerota's fascia using a balloon dissector
e) Intentional dissection of the upper pole of the kidney
f) All of the above.
g) Don't Know

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