title: [A case of anesthesia for a patient with a huge pheochromocytoma accompanying difficulty in hemodynamics control].
abstract: A 33-year-old man with diabetes mellitus developed a left pheochromocytoma, 9 cm diameters in size, of adrenalin predominance type. He underwent laparoscopic adrenalectomy. Anesthesia was induced with propofol and vecuronium, and maintained with continuous infusion of propofol. Lopivacaine was also used for epidural anesthesia. From the beginning of the operation, blood pressure was well controlled using prostaglandin E1 and landiolol continuously. However, the bleeding from the adrenal vein occurred in the middle of the operation. This incidence obliged us to alter the operation from laparoscopic to open surgery. It turned difficult to control blood pressure although antihypertensive drugs, such as prostaglandin E1, phentolamine and landiolol, were used. However, it was difficult to suppress unexpected high blood pressure and tachycardia with alteration of the operative procedure.
authors.affiliation: Department of Anesthesiology, Osaka Dental University, Osaka 540-0008.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Kaneda
authors.forename: Junko
authors.initials: J
authors.lastname: Takeuchi
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Yakushiji
authors.forename: Junichiro
authors.initials: J
authors.lastname: Kotani
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000503:physiopathology* / Q000601:surgery; D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D001794:Blood Pressure; D002395:Catecholamines / Q000378:metabolism; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000517:prevention & control*; D010535:Laparoscopy; D008297:Male; D010673:Pheochromocytoma / Q000503:physiopathology* / Q000601:surgery
chemical_list: D002395:Catecholamines