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Updated: Jun 13, 2025

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Bilateral simultaneous laparoscopic clipless adrenal-sparing surgery for pheochromocytoma in a pediatric patient: A
Nasser Simforoosh1, Javad Nikbakht1, Ahmad Eghbali2
1Shahid Labbafinejad Medical Center, The Center of Excellence in Urology, Urology and Nephrology Research Center, Research Institute for Urology and Nephrology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract:
Herein, we describe an 11-year-old male with a known history of Von Hippel-Lindau disease. He presented with malignant hypertension and bilateral adrenal masses measuring approximately 5cm and 3cm on the right and left sides, respectively. Pheochromocytoma was confirmed through imaging and lab data. The patient successfully underwent bilateral simultaneous laparoscopic clipless adrenal-sparing surgery. At the six-month follow-up, he remained asymptomatic and normotensive, normal laboratory tests or imaging. Additionally, there were no signs of adrenal insufficiency, eliminating the need for corticosteroid or mineralocorticoid replacement therapy. Laparoscopic bilateral synchronous adrenal-sparing surgery represents a significant advancement in the management of pediatric bilateral pheochromocytoma.
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