title: Simultaneous bilateral laparoscopic adrenalectomy for pheochromocytoma in multiple endocrine neoplasia (MEN) syndrome: Case report with review literature.
abstract: BACKGROUND
  Laparoscopic adrenalectomy has gained favour as a preferred surgical approach in the multiple endocrine neoplasia (MEN) type 2 patients. Currently, there is limited literature on bilateral simultaneous laparoscopic adrenalectomy in MEN 2 syndrome. We reported two cases of bilateral pheochromocytoma associated with MEN 2 syndrome cured by simultaneous bilateral laparoscopic adrenalectomy.
  
  
  METHODS
  First patient presented with big lips since childhood and episodic abdominal pain. On investigations, he was diagnosed with features of MEN 2B syndrome. Second patient was hypertensive and presented with abdominal pain. On evaluation she had features of MEN 2A syndrome.
  
  
  CONCLUSIONS
  Minimally invasive approach was preferred in both cases. Bilateral simultaneous adrenalectomies were uneventfully done with acceptable operative time and blood loss with rapid perioperative recovery. These cases highlighted the feasibility of laparoscopic simultaneous bilateral adrenalectomy for pheochromocytomas in MEN 2 syndrome.
  
  
  CONCLUSIONS
  Laparoscopic simultaneous bilateral adrenalectomy is a safe feasible and preferable technique for pheochromocytomas associated with MEN 2 syndrome.
authors: Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India. Electronic address: kaushalyadavoo7@yahoo.com.
authors: Kaushal
authors: K
authors: Yadav
authors: Urooncology Services, Tata Memorial Hospital, Mumbai, India. Electronic address: gkbakshi1973@gmail.com.
authors: Ganesh
authors: G
authors: Bakshi
authors: Urooncology Services, Tata Memorial Hospital, Mumbai, India. Electronic address: gagan2311@gmail.com.
authors: Gagan
authors: G
authors: Prakash
authors: Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India. Electronic address: tamhankaranup@gmail.com.
authors: Anup
authors: A
authors: Tamhankar
authors: Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India. Electronic address: kamlesh@gmail.com.
authors: Kamlesh
authors: K
authors: Verma
keywords: Laparoscopic adrenalectomy; Multiple endocrine neoplasia (MEN) 2 syndrome; Pheochromocytoma; Simultaneous bilateral adrenalectomy