LAPAROSCOPIC ADRENALECTOMY IN PHEOCHROMOCYTOMA AND CUSHINGS-SYNDROME REFLECTIONS ABOUT 2 CASE-REPORTS

Laparoscopic adrenalectomy is possible as well on the left as on the r ight side using a percutaneous transabdominal approach. The exposure o f the glands seems better than it could be achieved with an open metho d. In combination with intraoperative infusion of nicardipine, a calci um-channel blocker, the laparoscopic removal of a pheochromocytoma was performed safely and under stable conditions. In case of Cushing's sy ndrome, the laparoscopic approach reduces the problems related to poor healing. In all cases of laparoscopic adrenalectomy, this approach co uld offer the clear advantages of smaller incisions, reduced postopera tive pain and incisional discomfort as well as complications related t o large and invasive procedure and finally allows quicker recovery. Mo reover, conversion to open surgery remains always possible, if needed.