Use of the SAND balloon catheter for safe and easy laparoscopic removal of adrenal cysts

Ito, Jun; Kaiho, Yasuhiro; Kusumoto, Hiroki; Kohada, Yuki; Mikami, Jotaro; Sato, Makoto

doi:10.1002/iju5.12352

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…However, the development of double-balloon SAND catheters for safe aspiration and the use of endobags prior to removal in laparoscopic surgery has reduced concerns regarding the seeding of the abdominal cavity with cyst content. 19 Moreover, the laparoscopic approach allows for precise visualization of the cyst and its surrounding structures through high-definition video imaging systems. This enhanced visualization aids in the accurate identification of critical anatomical landmarks and ensures meticulous dissection and cyst removal while minimizing the risk of inadvertent damage to neighboring organs, nerves, or blood vessels.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic excision of a large retroperitoneal cyst: Case report and literature review

Sabir,

Rafique,

Adil

et al. 2024

SAGE Open Medical Case Reports

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Retroperitoneal cysts, a rare surgical phenomenon, present diagnostic challenges due to their typically asymptomatic nature. A 62-year-old male presented with a 4-month history of abdominal distension and increased burping. Upon clinical examination, a soft, distended, nontender abdomen with a palpable mass extending from the epigastric region to 3 cm below the umbilicus was revealed. Imaging revealed a 14.6 cm × 15.8 cm × 16.4 cm nonenhancing retroperitoneal lesion, compressing the right ureter and causing mild right hydronephrosis. Multiple gall bladder calculi, an umbilical hernia, and lipomatous lesions associated with adrenal glands were also discovered. Laparoscopic retroperitoneal cystectomy, cholecystectomy, and umbilical hernia repair were performed. Intraoperatively, 150 ml ascitic fluid and 1200 ml cystic fluid were found. This case highlights the intricate clinical presentation of a retroperitoneal cyst, emphasizing the need for surgical exploration. Successful laparoscopic management contributes to the evolving understanding of optimal treatment strategies.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic excision of a large retroperitoneal cyst: Case report and literature review

Sabir,

Rafique,

Adil

et al. 2024

SAGE Open Medical Case Reports

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“…The specific indication for the SAND balloon catheter is aspiration and washing of ovarian cystic fluid and alcohol fixation of the cyst wall; the catheter is not traditionally indicated for AC. Nevertheless, there have been reports of its use in the treatment of ovarian tumors 13 and other conditions 14 . However, only one report to date has described its use in AC 10 .…”

Section: Discussionmentioning

confidence: 99%

For safe and fast surgery: Utilization of the SAND balloon catheter for acute cholecystitis

Yasukawa,

Shimizu,

Kubota

et al. 2023

J Hepato Biliary Pancreat

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BackgroundThe utility of the SAND balloon catheter in laparoscopic cholecystectomy for acute cholecystitis (AC) remains unclear.MethodsA retrospective cohort study of patients who underwent emergency cholecystectomy at Shinshu University was performed to evaluate the efficacy of the SAND balloon catheter in cases of AC (SAND balloon utilization: Group S, n = 44; non‐utilization: Group non‐S, n = 47).ResultsThe duration of surgery was significantly shorter in Group S than in Group non‐S (p = .031). Despite comparable incidences of blood transfusions in the two groups, intraoperative blood loss was significantly less in Group S than in Group non‐S (p = .013). The incidence of postoperative intraperitoneal infection tended to be higher in Group non‐S (p = .076). Within Group non‐S, bile spillage during operation was found in 16 (34.0%) patients. The multivariate analysis revealed that gangrenous AC was the strongest independent risk factor for bile spillage during operation (odds ratio [OR]: 19.1; 95% confidence interval [CI]: 2.84–78.4; p = .002), followed by surgeons with ≤10 years of experience (OR: 11.3; 95% CI: 1.81–70.6; p < .010).ConclusionsImplementation of the SAND balloon catheter in patients with AC is a safe and efficacious surgical option. This catheter is recommended in cases of gangrenous cholecystitis and for surgeons with limited experience.

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“…There was no adhesion in the abdominal cavity. The cyst fluid was aspirated by a SAND balloon catheter [ 5 ] without intraperitoneal spillage. The cyst collapsed gradually, and nine liters of liquid, light yellow in color, were aspirated.…”

Section: Case Presentationmentioning

confidence: 99%

A Recurrent Mucinous Neoplasm Originating From an Ovarian Mucinous Cystadenoma After an Adnexectomy As the First Procedure: A Case Report

Ohira¹,

Hayashi²,

Kitano³

et al. 2022

Cureus

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Ovarian mucinous cystadenomas are benign, but they can rarely recur if incompletely excised. We are the very first to report a case of recurrent mucinous neoplasm originating from an ovarian mucinous cystadenoma after adnexectomy as the first procedure. A 58-year-old woman was referred to our hospital with a two-year history of abdominal fullness. Magnetic resonance imaging (MRI) demonstrated a pelviabdominal cyst measuring 37 cm, without solid components within the cyst. A laparotomy revealed a huge cystic tumor originating from the right ovary. A right adnexectomy was performed without intraoperative cyst rupture or spillage. Histologically, the cyst was diagnosed as a mucinous cystadenoma. A month after the operation, ultrasonography revealed a cystic lesion measuring 1.8 cm adjacent to the right side of the uterine body. During the follow-up every three months, the cyst enlarged gradually, and an MRI performed 42 months after the operation revealed a cystic mass measuring 5.5 cm, including an internal protrusion. The second laparotomy revealed a cystic mass arising from the right surface of the uterine body, and a total hysterectomy and left adnexectomy were performed. Histologically, this uterine tumor was diagnosed as a mucinous borderline tumor that recurred from the ovarian mucinous cystadenoma. On histological examination of the resected uterus, the silken threads used at the first operation were observed in proximity to the tumor lesion. We speculated that the reason for the recurrence of our case may be the uterine-side remanence of the mucinous tumor cells from the first operation. Because the utero-ovarian ligament became short due to the large ovarian cyst, adnexectomy as a first procedure may be insufficient. A close follow-up of these patients is required for early detection of the recurrence, and attention is necessary for patients having malignant transformation due to an adenoma-borderline-malignant sequence of ovarian mucinous tumors.

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Use of the SAND balloon catheter for safe and easy laparoscopic removal of adrenal cysts

Cited by 3 publications

References 12 publications

Laparoscopic excision of a large retroperitoneal cyst: Case report and literature review

Laparoscopic excision of a large retroperitoneal cyst: Case report and literature review

For safe and fast surgery: Utilization of the SAND balloon catheter for acute cholecystitis

A Recurrent Mucinous Neoplasm Originating From an Ovarian Mucinous Cystadenoma After an Adnexectomy As the First Procedure: A Case Report

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