and Other Interventional Techniques Surg Endosc (2018) 32:3401 DOI 10.1007/s00464-017-5969-z VIDEO Laparoscopic removal of retroperitoneal tumor with maneuver of hanging inferior vena cava 1 1 1 1 1 Sungho Kim · Ho‑Seong Han · YoungRok Choi · Yoo‑Seok Yoon · Jai Young Cho Received: 8 April 2017 / Accepted: 23 October 2017 / Published online: 7 December 2017 © Springer Science+Business Media, LLC 2017 Abstract of mass, the specimen was inserted into plastic retrieval bag Background Laparoscopic resection of retroperitoneal and extracted via extended umbilical port. And then Jackson mass is challenging because of its location close to major Pratt drain was placed around inferior vena cava. vessels and a limited range of laparoscopic instruments Result There was no intraoperative transfusion and com- [1–3]. We report a case of a huge retroperitoneal paragan- plications during laparoscopic retroperitoneal excision for glioma that was successfully excised laparoscopically using paraganglioma. The operation time was 190 min, and esti- maneuver of hanging IVC mated blood loss was 100 ml. The patient was discharged on Method A 67-year-old female had abdominal mass detected postoperative 5th day without complications. Final pathologic during routine check-up. She had no symptoms associated result was paraganglioma of 7.5 cm sized with PASS score 4 mass. Hematologic, biochemical investigations, and hormone (pheochromocytoma of the adrenal gland scaled score). tests reveal normal results. Preoperative CT shows retroperito- Conclusion Laparoscopic surgery for huge retroperitoneal neal tumor, measuring 6.1 cm in diameter, which was closely paraganglioma behind IVC was successfully performed with adhered to right adrenal gland and seemed to originate from the maneuver of hanging IVC. This procedure could be use- adrenal gland. Three 12-mm trocars and two 5-mm trocars ful with appropriate laparoscopic technique and proper patient were used. Laparoscopic views showed that severe adhesion in selection. peritoneal cavity due to previous subtotal gastrectomy for gas- tric polyp about 30 years ago. After adhesiolysis, the mass was Keywords Laparoscopic · Retroperitoneal · Inferior vena visualized behind inferior vena cava. The mass was carefully cava dissected and separated from duodenum and inferior vena cava Compliance with ethical standards as well as right adrenal gland. Inferior vena cava was retracted with hanging maneuver of IVC with vascular tape. The fibrotic Disclosures Authors Sungho Kim, Ho-Seong Han, YoungRok Choi, tissues covering the mass were dissected with ligasure™. The Yoo-Seok Yoon, Jai Young Cho, have no conflict of interest or financial feeding vessels supplying mass were identified and clipped, ties to disclose. then subsequently sealed and divided. After complete resection References Electronic supplementary material The online version of 1. Nozaki T, Iida H, Morii A, Fujiuchi Y, Okumura A, Fuse H (2013) this article (https://doi.org/10.1007/s00464-017-5969-z) contains Laparoscopic resection of adrenal and extra-adrenal pheochromo- supplementary material, which is available to authorized users. cytoma. J Endourol Endourol Soc 27(7):862–868 2. Ploussard G, Xylinas E, Paul A, Gillion N, Salomon L, Allory Y et al (2009) Is robot assistance affecting operating room time com- * Ho-Seong Han pared with pure retroperitoneal laparoscopic radical prostatectomy? firstname.lastname@example.org J Endourol Endourol Soc 23(6):939–943 3. Xu W, Li H, Ji Z, Yan W, Zhang Y, Zhang X et al (2016) Retro- Department of Surgery, Seoul National University Bundang peritoneal laparoscopic management of paraganglioma: a single Hospital, Seoul National University College of Medicine, institute experience. PLoS ONE 11(2):e0149433 166 Gumi-ro, Bundang-gu, Seongnam, Gyeonggi 463-707, South Korea Vol.:(0123456789) 1 3
Surgical Endoscopy – Springer Journals
Published: Dec 7, 2017
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