Patients with multiple endocrine neoplasia (MEN) type II disease are predisposed to develop bilateral adrenal pheochromocytomas. The standard treatment is a bilateral adrenalectomy in these patients. However, an adrenal-sparing operation preserves adrenocortical function and avoids the morbidity associated with cortisol replacement therapy. The issue of partial adrenal resection in these patients needs further evaluation. Since the first report on laparoscopic adrenalectomy,laparoscopy has become the gold standard technique for surgical treatment of benign
adrenal tumors. Laparoscopic resection of pheochromocytomas is feasible but potentially more challenging because of the risks for intraoperative hemodynamic instability and the usually large size of these tumors. Only a few reports have shown that a laparoscopic partial adrenalectomy is
feasible and has few perioperative complications. We report our method and how we managed the bilateral pheochromocytomas in a 39-year-old women with MEN type II disease by laparoscopic technology. This case was successfully treated, and neither intraoperative nor postoperative
complications occurred.