Jose Julio R Monteiro Filho, MD, FACS, Paulo Jose M Macedo, MD, FACS. Private Practice
The video showed a rare case of a intercava-aortic paraganglioma causing pheochromocitoma that was successfully treated laparoscopically. The patiente was a 57 years old female with severe hypertension that had elevated serum catecholamines and a CT scan showing a retroduodenal intercava-aortic 7cm mass. She received a preoperative alfa blockage with progressive doses of minipress until the ocurrence of postural hipotension (20mg). We planned to use 4 trocars, the surgeon between the legs, the optics at the umbilicus, one at each side for the surgeon and one for the assistant in the left uppr quadrant, but two more were needed at the begining of the procedure (suprapubic and right lower quadrant) for mobilization of the rigth colon. It was a tough but uneventful procedure that took 4 hours and the patient was discharged 36 hours after the surgery.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88004
Program Number: V041
Presentation Session: Solid Organ Videos Session
Presentation Type: Video