Re: Weingarten et al.: Comparison of two preoperative medical management strategies for laparoscopic resection of pheochromocytoma (Urology 2010;76:508).

摘要

We read with interest the article by Weingarten et al on preoperative medical management strategies for laparo-scopic pheochromocytoma removal. We would like to congratulate the authors for bringing this controversial issue into focus. Based on two series, sampling 87 patients and regarded by authors as the "largest reported case series of laparoscopic pheochromocytoma resection," Weingarten et al argue that it is important to normalize preoperative blood pressure and heart rate, and restore the so-called "depleted intravascular volume" before adrenalectomy for pheochromocytoma. We believe that a different analysis of available data is possible. Indeed, in our recently published experience, in 92 patients undergoing laparoscopic adrenalectomy for pheochromocytoma, preoperative blood pressure was predictive neither of intra- and postoperative hemodynamic alteration nor of intra- and postoperative vasopressive drug administration.