Partha Bhurtel, MD, Alaa Sada, MD, Travis McKenzie, MD. Mayo Clinic
INTRODUCTION: Partial adrenalectomy is indicated in patients with familial predisposition for pheochromocytoma or prior contralateral adrenalectomy with aldosterone or cortisol producing tumors. It helps maintain endogenous steroid production. We present a video of 2 patients who underwent laparoscopic stapled partial adrenalectomy at our institution.
METHODS AND PROCEDURES: We reviewed operative videos of two patients undergoing laparoscopic left and right partial adrenalectomies respectively. and edited the critical steps for the video. A chart review was performed.
RESULTS: The first patient is a 23-year old female with succinate dehydrogenase mutation with multiple resections of skull base paragangliomas with increased plasma Normetanephrine on surveillance. She underwent an MRI which was consistent with a pheochromocytoma on the inferior aspect of the left adrenal gland. Our second patient has Von Hippel–Lindau syndrome and had undergone a left adrenalectomy for pheochromocytoma in the past. She was found to have a new right sided lesion consistent with pheochromocytoma on surveillance. Both patients underwent laparoscopic stapled partial adrenalectomy. They had biochemical resolution postoperatively.
CONCLUSION(S): Laparoscopic stapled partial adrenalectomy is a safe and effective procedure in appropriate patients.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86421
Program Number: V043
Presentation Session: Solid Organ Videos Session
Presentation Type: Video