Bilateral Laparoscopic Partial Adrenalectomy: A Case Presentation and Review of the Literature

Sean Satey, Nathan Richards, Fred Brody


Laparoscopic adrenalectomy is the standard of care for benign adrenal diseases. Partial adrenalectomy has been performed for various tumors to preserve adrenal function while avoiding steroid supplements postoperatively. This article discusses a patient that underwent bilateral laparoscopic partial adrenalectomies for bilateral pheochromocytomas and reviews the literature on partial adrenalectomy. A 40-year-old woman with a recent diagnosis of hypertension and an emergent Caesarian section for pre-eclampsia presented to an outside clinic with labile blood pressure, diaphoresis, palpitations, and headache. Physical examination was unremarkable with no bruits appreciated in the neck or abdomen. Medical management of her hypertension was initiated with minimal response. Ultimately, a 24-h urine demonstrated elevated urinary metanephrine and normetanephrine levels consistent with a pheochromocytoma. An abdomen and pelvis computed tomogram revealed bilateral, discrete, solid adrenal masses measuring 3.9 3.3 cm and 2.3 2.7 cm on the left and right, respectively. Selective adrenal venous sampling confirmed bilateral biochemically active pheochromocytomas. Bilateral laparoscopic partial adrenalectomies were performed using laparoscopic staplers to divide the tumor from the normal gland. Both adrenal veins were preserved. Glucocorticoid function was monitored by serial cortisol measurements and glucocorticoid supplementation was initiated on postoperative day one with a 4-week taper. At 1-year follow-up, she remains asymptomatic with a normal blood pressure, cortisol levels, and urine catecholamines. Laparoscopic partial adrenalectomies for bilateral pheochromocytomas are safe and effective. Partial resections preserve adrenal function while eradicating long-term steroid requirements.

J Med Cases. 2014;5(4):212-216


Bilateral laparoscopic partial adrenalectomy; Pheochromocytoma; Steroid; Operative technique

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website:   editorial contact:
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.