[Anesthetic management of laparoscopic adrenalectomy for pheochromocytoma].
OBJECTIVE
To investigate the anesthetic management features of laparoscopic adrenalectomy for pheochromocytoma.


METHODS
Twelve patients scheduled for laparoscopic adrenalectomy for pheochromocytoma under general anesthesia were allocated into group 1, while another 12 patients who received transabdominal adrenalectomy for pheochromocytoma under general anesthesia were selected as group 2. The hemodynamic changes and the postoperative recovery profiles between the two groups were compared.


RESULTS
Hemodynamic fluctuation occurred during carbon dioxide insufflation and tumor manipulation in group 1. However, there were no differences between the two groups. Duration of post operative recovery and hospital stay as well as requirement of analgesics in group 1 were significantly lower than those in group 2 (P < 0.05).


CONCLUSIONS
Hemodynamic fluctuation still exists during laparoscopic adrenalectomy for pheochromacytoma. However, patients undergoing such surgical procedure recover faster as compared with open surgery.
Yu
Xue-rong
XR
Department of Anesthesiology, Peking Union Medical College Hospital, Beijing 100730, China. yxr313@yahoo.com.cn
Guo
Xiang-yang
XY
Luo
Ai-lun
AL
Li
Han-zhong
HZ
D000310:Adrenal Gland Neoplasms / Q000503:physiopathology / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D000768:Anesthesia, General; D001794:Blood Pressure; D005260:Female; D006339:Heart Rate; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D010673:Pheochromocytoma / Q000503:physiopathology / Q000601:surgery*; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects