Successful Management of Uncontrolled Hypertension with Peritumoral Infiltration of Lidocaine During Laparoscopic Resection of Pheochromocytoma: A New Approach
AbstractThe intraoperative care of pheochromocytomas can be difficult and lead to serious complications. We present a case of a 46 year-old female undergoing laparoscopic resection of pheochromocytoma, who was scheduled for surgery with phenoxybenzamine and amlodipin. Under general anesthesia cardiovascular stability was achieved by peritumoral infiltration of lidocaine during resection.
Russell T Wall. Stoelting’s Anesthesia and Co-existing disease, sixth edition, Elsevier, Philadelphia 2012; 388-393.
Prys-Roberts C. Phaeochromocytoma – recent progress in its management. Br J Anaesth. 2000; 85(1):44–57
Simforoosh N, Ahmadnia H, Ziaee AM, Moradi M. Laparoscopic adrenalectomy: a report of the first experience in Iran. Urology Journal. 2004; 1(2):77-81.
Ahmed A. Perioperative management of pheochromocytoma: anaesthetic implications. J Pak Med Assoc. 2007; 57(3):140-6.
Domi R, Sula H, Kaci M, Paparisto S, Bodeci A, Xhemali A. Anesthetic considerations on adrenal gland surgery. J Clin Med Res. 2015; 7(1):1-7.
Bryskin R, Weldon BC. Dexmedetomidine and magnesium sulfate in the perioperative management of a child undergoing laparoscopic resection of bilateral pheochromocytomas. J Clin Anesth. 2010; 22(2):126-9.
Lord M.S, Augoustides J.G. Perioperative management of pheochromocytoma: focus on magnesium, clevidipine, and vasopressin. J Cardiothorac Vasc Anesth. 2012; 26(3):526–31.
Rashid-Farokhi F, Cheraghvandi A, Masjedi MR Pheochromocytoma crisis due to glucocorticoid administration: a case report and review of the literature. Arch Iran Med. 2009; 12(2):190-4.
Bravo EL. Pheochromocytoma: an approach to antihypertensive management. Ann N Y Acad Sci. 2002; 970:1-10.
Prabhu VC, Bamber NI, Shea JF, Jellish WS. Avoidance and management of trigeminocardiac reflex complicating awake-craniotomy. Clin Neurol Neurosurg. 2008; 110(10):1064–7
Davidovic LB, Djukic VB, Vasic DM, Sindjelic RP, Duvnjak SN. Diagnosis and treatment of carotid body paraganglioma: 21 years of experience at a clinical center of Serbia. World J Surg Oncol. 2005; 3(1):10.