title: Unilateral laparoscopic adrenalectomy followed by contralateral retroperitoneoscopic partial adrenalectomy in a patient with multiple endocrine neoplasia type 2a syndrome.
abstract: We report the first patient who had bilateral pheochromocytoma associated with multiple endocrine neoplasia type 2a syndrome (MEN 2a) and underwent unilateral laparoscopic adrenalectomy followed by contralateral retroperitoneoscopic partial adrenalectomy 2 years later. The postoperative course was uneventful both times, and the patient was cured of hypertension without any need for steroid replacement. Endoscopic partial adrenalectomy is a minimally invasive procedure for pheochromocytoma with mild symptoms. We believe that this procedure has considerable potential for treating bilateral pheochromocytoma, which is frequently observed in patients with MEN 2a.
authors.affiliation: Department of Urology, Hamamatsu University School of Medicine, Hamamatsu-shi, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Mugiya
authors.forename: K
authors.initials: K
authors.lastname: Suzuki
authors.forename: K
authors.initials: K
authors.lastname: Saisu
authors.forename: K
authors.initials: K
authors.lastname: Fujita
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D018276:Carcinoma, Medullary / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D018813:Multiple Endocrine Neoplasia Type 2a / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D010673:Pheochromocytoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation; D012187:Retroperitoneal Space / Q000601:surgery; D013577:Syndrome; D013964:Thyroid Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D013965:Thyroidectomy