Herein, we describe an 11-year-old male with a known history of Von Hippel-Lindau disease. He presented with malignant hypertension and bilateral adrenal masses measuring approximately 5cm and 3cm on the right and left sides, respectively. Pheochromocytoma was confirmed through imaging and lab data. The patient successfully underwent bilateral simultaneous laparoscopic clipless adrenal-sparing surgery. At the six-month follow-up, he remained asymptomatic and normotensive, normal laboratory tests or imaging. Additionally, there were no signs of adrenal insufficiency, eliminating the need for corticosteroid or mineralocorticoid replacement therapy. Laparoscopic bilateral synchronous adrenal-sparing surgery represents a significant advancement in the management of pediatric bilateral pheochromocytoma.

Bilateral

Adrenalectomy

Pheochromocytoma

Laparoscopy

Pediatrics

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