Laparoscopic management of rare retroperitoneal tumors

Surg Laparosc Endosc Percutan Tech. 2010 Jun;20(3):e117-22. doi: 10.1097/SLE.0b013e3181df2286.

Abstract

Due to their close proximity to major vessels, large size, variable location, and unknown malignant status, retroperitoneal tumors are frequently managed by open surgical exploration. Between 2005 and 2008, 4 patients with retroperitoneal tumors were subjected to laparoscopic management and there was success in 3 cases. Conversion to open resection was needed in 1 case because of bleeding. Mean laparoscopic operative time and blood loss were 154 minutes and 116 mL, respectively. The average hospital stay for the patients who were operated laparoscopically was 4 days. One patient had lymph drainage during the postoperative period and was treated conservatively. The histology reported retroperitoneal ganglioneuroma, retroperitoneal schwannoma, and retroperitoneal paraganglioma. There has been no tumor recurrence at a mean follow-up of 39 months. With advanced laparoscopic skills, better instrumentation, and vastly improved imaging, laparoscopic surgery is feasible even for rare retroperitoneal tumors, and in a selected group of patients it can be the first surgical option.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Ganglioneuroma / complications
  • Ganglioneuroma / diagnosis
  • Ganglioneuroma / surgery*
  • Humans
  • Laparoscopy*
  • Male
  • Middle Aged
  • Neurilemmoma / complications
  • Neurilemmoma / diagnosis
  • Neurilemmoma / surgery*
  • Paraganglioma / complications
  • Paraganglioma / diagnosis
  • Paraganglioma / surgery*
  • Retroperitoneal Neoplasms / complications
  • Retroperitoneal Neoplasms / diagnosis
  • Retroperitoneal Neoplasms / surgery*