title: [Retroperitoneal laparoscopic surgery for phaeochromocytoma: analysis of morbidity and haemodynamic instability].
abstract: OBJECTIVE
  To study the morbidity and haemodynamic parameters on a consecutive series of adrenalectomies performed Jbr phaeochromocytoma by retroperitoneal laparoscopy.
  
  
  METHODS
  The study population comprised 23 phaeochromocytomas in 20 patients treated by controlled retroperitoneal laparoscopic surgery. The following parameters were studied: intraoperatively: operating time, blood loss, blood pressure, heart rate, and postoperatively: infectious, haemorrhagic and thromboembolic complications.
  
  
  RESULTS
  The mean operating time was 156 minutes (range: 105-224). Mean blood loss was 58 ml (range: 0-300). Intraoperatively, 1500 of patients presented a peak SBP >220 mmHg and 70% presented a peak SBP >200 mmHg. In contrast, 200 of patients presented a nadir SBP <60 mmHg, but no patient presented a nadir SBP less than 40 mmHg. One case of intraoperative haemorrhage was observed (4.3%). Three postoperative complications (1 case of respiratory distress, 1 case of haemorrhagic shock, and 1 abscess) were observed (13%).
  
  
  CONCLUSIONS
  Laparoscopic surgery for phaeochromocytoma is associated with a risk of haemodynamic instability. Phaeochromocytoma surgery should therejbre continue to be performed in specialized centres (surgical, anaesthetic and endocrinological).
authors.affiliation: Federation d'Urologie, Maladies Métaboliques et Nutrition, Hôpital Rangueil, Toulouse, France.
authors.forename: Bastien
authors.initials: B
authors.lastname: Rambaud
authors.forename: Joe
authors.initials: J
authors.lastname: Nohra
authors.forename: Mehdi
authors.initials: M
authors.lastname: Khedis
authors.forename: Fabien
authors.initials: F
authors.lastname: Wagner
authors.forename: Michel
authors.initials: M
authors.lastname: Mazerolles
authors.forename: Jacques
authors.initials: J
authors.lastname: Amar
authors.forename: Bernard
authors.initials: B
authors.lastname: Chamontin
authors.forename: Antoine
authors.initials: A
authors.lastname: Bennet
authors.forename: Philippe
authors.initials: P
authors.lastname: Caron
authors.forename: Pascal
authors.initials: P
authors.lastname: Rischmann
authors.forename: Pierre
authors.initials: P
authors.lastname: Plante
authors.forename: Michel
authors.initials: M
authors.lastname: Soulie
authors.forename: Eric
authors.initials: E
authors.lastname: Huyghe
mesh_terms: D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006439:Hemodynamics; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology / Q000503:physiopathology; D012187:Retroperitoneal Space