British Journal of Anaesthesia, Vol 77, Issue 6 795-797, Copyright © 1996 by The Board of Management and Trustees of the British Journal of Anaesthesia
C. Mann, B. Millat, G. Boccara, J. Atger and P. Colson
We describe two patients who underwent resection of phaeochromocytoma by a
laparoscopic approach. Although outcome from surgery was successful, there
was marked variability in hormonal and haemodynamic changes. In one
patient, despite an infusion of nicardipine, peritoneal insufflation
produced a marked increase in catecholamine concentrations associated with
transient but intense vasoconstriction, but there was no change in the
second patient. In both patients, exsufflation caused no significant
haemodynamic changes in spite of the high doses of nicardipine given
throughout the procedures.
CASE REPORTS
Tolerance of laparoscopy for resection of phaeochromocytoma
Departments of Anaesthesia and Surgery, Hospital Saint-Eloi, University of Montpellier, Montpellier 34295, France
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