With the arrival of spring and the flourishing work of our hospital, the work of our urology department has achieved another success by completing a case of high, precise, firm and difficult surgery. The patient is a 52-year-old male from a district and county attached to Jiamusi City, Heilongjiang Province. The patient started to have dizziness symptoms without any obvious cause 4 years ago, was diagnosed with hypertension and started to take oral antihypertensive drugs, and still had paroxysmal elevation of blood pressure during the course of taking the drugs, with blood pressure reaching up to 200/100mmHg, accompanied by dizziness and weakness of limbs. He took a variety of oral antihypertensive drugs in high doses, but was still unable to control his blood pressure satisfactorily. Later, an abdominal ultrasound examination due to cholecystitis revealed a huge occupancy of about 12×6×6 cm in the right adrenal area. After reading the film, the local physician thought that it was extremely difficult to remove the mass and refused to operate on it. The patient came to our hospital, and Director Li Shengwen, with the principle of “all for the patient” and considering the patient’s youth, decided to fight for a chance to operate for the patient. Director Li Shengwen led the whole department to consult the case and diagnosed the tumor as pheochromocytoma. He thought that the upper end of the right adrenal gland was located between the abdominal aorta and the vena cava, and compressed the deformation of the vena cava; and the lower end of the occupancy wrapped around the right kidney tip and the left kidney vein, which made the operation extremely difficult. Due to the large size of the tumor, the patient had obvious clinical symptoms, elevated blood pressure and blood sugar, and the effect of drug control was not satisfactory. After thorough preparation, Director Li Shengwen led the urology team to perform a 13-hour “laparoscopic combined open surgery for right adrenal giant occupancy resection” and successfully removed the occupying tissue completely. The postoperative pathology returned pheochromocytoma; the patient recovered well after the operation, no need to take antihypertensive and hypoglycemic drugs, blood pressure and blood sugar are well controlled, and is now discharged from the hospital.