Robot‐assisted laparoscopic resection of large retroperitoneal paraganglioma – initial experience from China

Xia, Leilei; Xu, Tianmin; Wang, Xianjin; Qin, Liang; Zhang, Xiang; Zhang, Xiaohua; Zhu, Zhaowei; Zhong, Shan; Zhang, Shen

doi:10.1002/rcs.1701

Cited by 11 publications

(6 citation statements)

References 23 publications

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“…Some reports have indicated that the retroperitoneal approach shortens the surgical duration 32,33 . In addition, reports also exist on the single‐site and robotic surgeries 34,35 …”

Section: Discussionmentioning

confidence: 99%

A patient with paraganglioma undergoing laparoscopic resection: A case report

Yoshii

Hayashi

Tajiri

et al. 2021

Clinical Case Reports

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“…Some reports have indicated that the retroperitoneal approach shortens the surgical duration 32,33 . In addition, reports also exist on the single‐site and robotic surgeries 34,35 …”

Section: Discussionmentioning

confidence: 99%

A patient with paraganglioma undergoing laparoscopic resection: A case report

Yoshii

Hayashi

Tajiri

et al. 2021

Clinical Case Reports

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“…For the former, we choose retroperitoneoscopic approaches, while for the latter, tumors were removed using transperitoneoscopic approaches (6,20). In addition, with the rise of robotic surgery by Leonardo Da Vinci, some medical centers have been using this method to break through the limit of tumor resection, which also has a good application prospect (21)(22)(23).…”

Section: Discussionmentioning

confidence: 99%

Case Report: Totally Laparoscopic Resection of Retroperitoneal Paraganglioma Masquerading as a Duodenal Gastrointestinal Stromal Tumor

Zhang¹,

Tu²,

Lv³

et al. 2021

Front. Surg.

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Introduction: Retroperitoneal paraganglioma (RPGL) is a rare clinical tumor derived from the retroperitoneal sympathetic paraganglion tissue. Since RPGLs are locate deeply and have no specific symptoms and imaging manifestations at the early stage, which easily causes missed diagnosis or misdiagnosis. In addition, reports on totally laparoscopic resection of RPGLs are scarce due to their close proximity to large vessels, giant size, uncertain location, and unknown malignant status.Case Presentation: We present here the case of totally laparoscopic resection of a 6.4 × 5.4 cm RPGL that was discovered during a workup for discomfort and upper abdominal pain in a 68-year-old female patient, mimicking a gastrointestinal stromal tumor (GIST) of the duodenum, Which was confirmed as a RPGL based on the histopathological and immunohistochemical findings.Conclusions: RPGL is a rare tumor, and the transperitoneal laparoscopic approach for the RPGL is a safe, applicable method with less trauma and quick recovery, which is worth clinical popularizing and application. Moreover, the survival prognosis of RPGL patients are related to metastasis, and lifelong follow-up should be emphasized.

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“…The laparoscopic surgery for abdominal PGLs has been proved to be as reliable as laparotomy. Some surgeons insist a retro-peritoneal laparoscopic surgery for suprarenal PGLs and a transperitoneal laparoscopic surgery for infrarenal PGLs [40]. However, the anatomic variations, instability haemodynamics during operation, close to major blood vessels, peripheral dense adhesions and hypervascularity of PGLs make laparoscopic resection extremely difficult [41].…”

Section: Discussionmentioning

confidence: 99%

Haemorrhagic retroperitoneal paraganglioma initially manifesting as acute abdomen: a rare case report and literature review

Yang

Wang

et al. 2020

BMC Surg

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Background Paragangliomas (PGLs) are extremely rare neuroendocrine tumours arising from extra-adrenal chromaffin cells. PGLs are clinically rare, difficult to diagnose and usually require surgical intervention. PGLs mostly present catecholamine-related symptoms. We report a case of Acute abdomen as the initial manifestation of haemorrhagic retroperitoneal PGL. There has been only one similar case reported in literature. Case presentation We present a unique case of a 52-year-old female with acute abdomen induced by haemorrhagic retroperitoneal PGL. The patient had a 5-h history of sudden onset of serve right lower quadrant abdominal pain radiating to the right flank and right lumbar region. Patient had classic symptoms of acute abdomen. Abdominal ultrasound revealed a large abdominal mass with a clear boundary. A Computed Tomography Angiography (CTA) of superior mesenteric artery was also performed to in the emergency department. The CTA demonstrated a large retroperitoneal mass measured 9.0 × 7.3 cm with higher density inside. A provisional diagnosis of retroperitoneal tumour with haemorrhage was made. The patient received intravenous fluids, broad-spectrum antibiotics and somatostatin. On the 3rd day of admission, her abdominal pain was slightly relieved, but haemoglobin decreased from 10.9 to 9.4 g/dL in 12 h suggesting that there might be active bleeding in the abdominal cavity. Thus, we performed a midline laparotomy for the patient. Haemorrhage was successfully stopped during operation. The retroperitoneal tumour with haemorrhage was completely removed. The abdominal pain was significantly relieved after surgery. The patient initially presented with acute abdomen instead of catecholamine-related symptoms. The diagnosis of retroperitoneal PGL with haemorrhage was finally confirmed by postoperative pathological and immunohistochemical results. The postoperative course was uneventful. At the 1-year follow-up visit, no tumour recurrence was observed by Single Photon Emission Computed Tomography. A literature review was performed to further understand and analyse the aforementioned disease. Conclusion Acute abdomen as the initial manifestation of haemorrhagic retroperitoneal paraganglioma is extremely rare. Abdominal Computed Tomography is essential to locate the lesion and differentiate between other causes of acute abdomen. PGLs are hypervascular tumours. We should be aware that ruptured retroperitoneal PGL with massive bleeding could be life threatening and require emergency laparotomy.

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Robot‐assisted laparoscopic resection of large retroperitoneal paraganglioma – initial experience from China

Abstract: With the advantages of robotic system, robot-assisted resection of large retroperitoneal PGL is feasible, safe and efficient. The robotic system has the potential to expand surgical treatment modalities for complex PGL. Copyright © 2015 John Wiley & Sons, Ltd.

Cited by 11 publications

References 23 publications

A patient with paraganglioma undergoing laparoscopic resection: A case report

A patient with paraganglioma undergoing laparoscopic resection: A case report

Case Report: Totally Laparoscopic Resection of Retroperitoneal Paraganglioma Masquerading as a Duodenal Gastrointestinal Stromal Tumor

Haemorrhagic retroperitoneal paraganglioma initially manifesting as acute abdomen: a rare case report and literature review

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