Hypotension with and Without Hypertensive Episodes During Endoscopic Adrenalectomy for Pheochromocytoma or Paraganglioma-Should Perioperative Treatment Be Individualized?

In the multivariate analysis, only age (4% risk increase) and preoperative diastolic ABP (risk decrease of 6% with higher diastolic ABP) remained significant; however, incidental diagnosis showed borderline significance (2.8-fold risk increase; p = 0.060).

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Tumor diameter did not show a significant difference among the three groups, whereas there was a clear trend toward the highest preoperative urinary and plasma catecholamine and metanepehrine levels documented in patients in group 2 (both intraoperative hypo- and hypertension; Table 2 and Figure 2 ).

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