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Laparoscopic Partial Adrenalectomy for Bilateral Pheochromocytomas in a Boy with von Hippel–Lindau Disease

Objectives: In adults, increasing numbers of adrenalectomies for pheochromocytomas are performed laparoscopically. We report for the first time laparoscopic bilateral subtotal adrenalectomy for pheochromocytomas in an 8–year–old boy with von Hippel–Lindau disease.Methods: In July 1998, an 8–year–old boy with von Hippel–Lindau disease underwent laparoscopic adrenal–sparing surgery for bilateral pheochromocytomas. The boy presented with severe hypertension and two pheochromocytomas on both sides.Results: The child could be solely treated with laparoscopic adrenal–sparing surgery. The procedure was completed as planned. There were absolutely no intraoperative or postoperative complications. Postoperatively, catecholamine levels and hypertension went back to normal. At follow–up no residual tumor could be detected and no steroid replacement therapy was necessary.Conclusions: In experienced hands, laparoscopic adrenal–sparing surgery for pheochromocytomas is feasible and safe. Moreover, this minimal invasive approach represents an exceptional improvement in life quality, especially in children with von Hippel–Lindau disease since surgery will probably be necessary again and again in their future life.