Laparoscopic Resection of Retroperitoneal Paragangliomas: A Comparison with Conventional Open Surgical Procedures

Wang, Ping; Meng, Hua; Qin, Jie; Jing, Taile; Pān, Hào; Xia, Dan; Chen, Jun; Wang, Shuo

doi:10.1089/end.2015.0399

Cited by 12 publications

(10 citation statements)

References 24 publications

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“…Open exploration and resection is the standard surgical management of PG, however, laparoscopic resection of PG is considered challenging because of the altered anatomic location, dense peritumoral adhesions, high vascularity envelope, proximity to major blood vessels [ 1 , 7 ]. If a tumor is felt to be unresectable at surgery, attempts to reduce its size by chemotherapy or radiation or embolization may be indicated because resection offers the only chance of cure [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Retroperitoneal paragangliomas are rare tumors, While pheochromocytomas originate in the core of the adrenal glands, extra-adrenal paraganglioma tumors arise from ganglia along the sympathetic and parasympathetic chain. Most of them are functional, with symptoms and signs of catecholamine overproduction, similar to pheochromocytoma except for the variation in the anatomic location The risk of malignancy may be as high as 20%–30% compared with a 10% risk of malignancy for adrenal pheochromocytoma [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

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Non-functional retroperitoneal paraganglioma: A report of case with literature review

Hajri

Ballati

Essaidi

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction Retroperitoneal paragangliomas are rare tumors, they arise from ganglia along the sympathetic and parasympathetic chain. We report a rare case of a non functional paraganglioma in whom surgical resection was performed. Presentation of case A 35 years-old female presented with chronic abdominal pain, A contrast magnetic resonance imaging (MRI) of abdomen showed a well-defined Left latero-aortic cystic retro-peritoneal surgical resection using laparotomy was performed, The patiente recovered well and was discharged three days after surgery. Histological examination and immunohistochemical revealed a retroperitoneal paraganglioma. Discussion and conclusion Non-functioning retroperitoneal paragangliomas are rare and are most often Isolated. Radiological techniques including, Contrast-enhanced computed tomography (CT) and Magnetic resonance imaging (MRI) are useful for identifying and locating retroperitoneal paragangliomas. surgical excision is still the most effective treatment when it possible.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Non-functional retroperitoneal paraganglioma: A report of case with literature review

Hajri

Ballati

Essaidi

et al. 2021

Annals of Medicine &Amp; Surgery

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“…However, several reports have described the safety of laparoscopic surgery for retroperitoneal tumors, indicating that the laparoscopic approach is feasible in experienced hands. In our hospital, laparoscopic surgery is usually performed by an operator who is proficient in retroperitoneal tumor resection.…”

Section: Discussionmentioning

confidence: 99%

Successful laparoscopic resection of a paraganglioma immediately behind the inferior vena cava and bilateral renal veins

Hakariya¹,

Shida²,

Ito³

et al. 2019

IJU Case Reports

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Introduction Paragangliomas have a rich blood flow and are located around large vessels; thus, resection is often difficult. We herein report a case of a paraganglioma that was located immediately behind the inferior vena cava and bilateral renal veins and successfully resected by laparoscopic surgery. Case presentation A 72‐year‐old man was incidentally diagnosed with a 7‐cm retroperitoneal mass immediately behind the inferior vena cava and bilateral renal veins by computed tomography. The mass was diagnosed as a retroperitoneal paraganglioma. The patient underwent laparoscopic surgery in the left lateral decubitus position. The tumor was dissected completely with no complications. Conclusion Resection of retroperitoneal paragangliomas is often a surgical challenge. The feasibility of the laparoscopic approach to such paragangliomas was demonstrated in the present case.

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“…Scope of the surgery resulted from the suspicion of the invasion of the structures adjacent to the bladder and proximity of distal parts of ureters and ureteral orifices. In the case of paragangliomas located far from a urinary bladder triangle, partial resection of a urinary bladder should be considered (7) . In the case of pheochromocytoma located on a side wall nearby a ureteral orifice or distal part of the ureter, resection of the leasion may compel ureteral reimplantation into a normal bladder wall.…”

Section: Discussionmentioning

confidence: 99%

Intraoperative decision to change the course of management based on an ultrasonographic image of urinary bladder paraganglioma – a case study

et al. 2019

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This case study concerns a 69-year-old woman qualified for transurethral resection of a primary tumor in a urinary bladder. Since a cystoscopic image did not correspond with typical urothelial carcinoma, an intraoperative ultrasonographic transrectal imaging was carried out, on the basis of which it was believed to be urinary bladder paraganglioma. Endoscopic treatment was abandoned. The patient was directed for further examination and next, on suspicion of extra-bladder phaeochromocytoma, scheduled for open surgery. Due to the location and range of the tumor, and systemic conditions, a radical cystectomy and Bricker’s supravesical ureteroileal conduit were carried out. A postoperative histopathological examination confirmed the phaeochromocytoma character of the urinary bladder tumor.

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Laparoscopic Resection of Retroperitoneal Paragangliomas: A Comparison with Conventional Open Surgical Procedures

Abstract: Laparoscopic procedure is safe and feasible in the treatment of patients with retroperitoneal PGLs. Laparoscopic resection of PGLs from the renal hilum is technically challenging. However, it is possible to safely undertake laparoscopic resection of these tumors by an experienced surgeon.

Cited by 12 publications

References 24 publications

Non-functional retroperitoneal paraganglioma: A report of case with literature review

Non-functional retroperitoneal paraganglioma: A report of case with literature review

Successful laparoscopic resection of a paraganglioma immediately behind the inferior vena cava and bilateral renal veins

Intraoperative decision to change the course of management based on an ultrasonographic image of urinary bladder paraganglioma – a case study

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