Impact of surgical technique on hemodynamic instability in patients with pheochromocytoma: a single-centre retrospective cohort study.

ABSTRACT:

Background

Endoscopic adrenalectomy by either transperitoneal laparoscopic (TLA) or posterior retroperitoneoscopic approach (PRA) is the preferred treatment for pheochromocytoma (PCC). PRA shows advantages in patient outcome, but blood pressure fluctuations may occur due to limited working space and increased CO₂-pressure. We investigated the impact of surgical technique on intraoperative hemodynamic instability in patients with PCC.

Methods

Patients who had endoscopic adrenalectomy for PCC consecutively from 2007 to 2022 were included in this retrospective cohort study. The primary outcome was hemodynamic instability (HI-score) and secondary outcomes were hemodynamic parameters and drug administration.

Results

Overall, 101 patients met the inclusion criter

SUBMITTER: Chaman Baz AH 

PROVIDER: S-EPMC12222387 | biostudies-literature | 2025 May

REPOSITORIES: biostudies-literature