Laparoscopic resection of retroperitoneal paraganglioma behind the Spiegel lobe in a kyphotic patient: A rare case report

Abstract

Extra-adrenal paraganglioma is a rare form of neuroendocrine neoplasm capable of catecholamine secretion. The surgical risks associated with the tumor location are compounded in this case of a kyphotic patient. This report presents the successful application of laparoscopy on extra-adrenal paraganglioma located behind the Spiegel lobe in a kyphotic patient. The operation was performed after 1 week of α-blocker administration. The laparoscopic approach, with the patient in the left hemilateral decubitus position on a rotating table, provided optimal access for safe tumor resection after complete hepatic right lobe mobilization. The patient's postoperative course was uneventful. Based on the results, the laparoscopic approach can be a safe and effective method for resecting extra-adrenal paraganglioma in the challenging case of a kyphotic patient.

A patient with paraganglioma undergoing laparoscopic resection: A case report

“…A PubMed search for reports on laparoscopic surgery for abdominal PGL with paraganglioma/laparoscopic revealed 12 case reports, including this case, in a 10‐year period from 2010 to 2020 (Table 1). 18‐28 The average age was 44.9 years (22‐72), and the male:female ratio was 5:7. Laparoscopic approaches consisted of the transperitoneal approach in 11 cases and transthoracoabdominal approach in 1 case.…”

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

“…Bacalbasa et al 2 reported a case involving invasion of the celiac artery in which the paraganglioma and celiac artery were resected en bloc and the common hepatic artery was anastomosed to the abdominal aorta. Ogawa et al 3 described a paraganglioma arising on the back of Spiegel's lobe in a woman with kyphosis, and resection was performed by laparoscopic surgery. Heinze et al 4 reported laparoscopic one-step resection of suspected paragangliomas that had not been preoperatively diagnosed.…”