Anesthetic management of adrenaloectomy: a case report

Abstract

Pheochromocytomas are catecholamine secreting tumours arising from the chromaffin cells of sympathoadrenal system. The patients usually present with hypertension, palpitation and sweating but may have varied presentation as well. Surgery is the definitive treatment of pheochromocytoma both to control the symptoms and more importantly to prevent further complications of hypertensive crisis, particularly the cerebrovascular and cardiovascular events. The laparoscopic adrenalectomy via transperitoneal or retroperitoneal approach is preferred due to advantages of laparoscopy over the open approach. The anesthetic management of such surgeries becomes challenging due to the potential for perioperative hemodynamic instability.