Laparoscopic resection of paraaortic/paracaval neurogenic tumors : surgical outcomes and technical tips

Abe, Takashige; Sazawa, Ataru; Harabayashi, Toru et al.

Surgical endoscopy, 2016, 30(10), 4640-4645

Permalink : https://hdl.handle.net/2115/67232

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論文情報

ファイル出力 EndNote Basic出力 Mendeley出力

アクセス権
open access
URI
https://hdl.handle.net/2115/67232
タイトル
Laparoscopic resection of paraaortic/paracaval neurogenic tumors : surgical outcomes and technical tips
その他のタイトル
Laparoscopic surgery for neurogenic tumors
著者
Abe, Takashige ; Sazawa, Ataru ; Harabayashi, Toru ; Oishi, Yuichiro ; Miyajima, Naoto ; Tsuchiya, Kunihiko ; Maruyama, Satoru ; Okada, Hiromi ; Shinohara, Nobuo
e-Rad_Researcher
10399842
著者名
Abe, Takashige
e-Rad_Researcher
60374287
著者名
Sazawa, Ataru
著者名
Harabayashi, Toru
著者名
Oishi, Yuichiro
著者名
Miyajima, Naoto
著者名
Tsuchiya, Kunihiko
e-Rad_Researcher
80507591
著者名
Maruyama, Satoru
著者名
Okada, Hiromi
e-Rad_Researcher
90250422
著者名
Shinohara, Nobuo
言語
英語
キーワード
Neurogenic tumor
Paraganglioma
Laparoscopic surgery
発行日
2016-10
出版者
Springer
収録物名
Surgical endoscopy
巻(号)
30(10)
ページ
4640-4645
抄録
Background: Due to variations in location and size, laparoscopic surgery for paraaortic or paracaval neurogenic tumors is challenging. We evaluated the surgical outcomes, as well as surgical tips and tricks. Methods: Between 2000 and 2015, 25 procedures were performed in 24 patients. One patient underwent second surgery due to the recurrence of paraganglioma. Data were collected on the tumor diameter, tumor location, perioperative outcomes, pathology, and last known disease status. Regarding the operative procedures, we reviewed the operative charts or videos to identify surgical tips and tricks. Results: The median tumor diameter was 5.0 cm (range, 1.5-10). The tumor location was suprahilar in 10, hilar in 6, and infrahilar in 9. Regarding the approach, a transperitoneal approach was selected in 24 cases and retroperitoneal approach in 1. The median operative time and blood loss were 208 minutes (range, 73-513) and 10 mL (range, 0-1,020), respectively. No patient required blood transfusion or conversion to open surgery. Pathological examination revealed paraganglioma in 12, ganglioneuroma in 7, and schwannoma in 6. At the last follow-up, 23 patients were free of disease, while one patient developed metastatic multiple recurrence of paraganglioma 54 months after the second laparoscopic surgery. A review of the surgical records revealed several tips and tricks, including taping the vena cava/ renal vein (n=2) being helpful for detaching a retrocaval tumor from these great vessels, or rotating the kidney to provide a favorable operative view of tumors behind the renal hilum (n=2). In recent cases, 3D-CT was helpful for preoperative planning. Conclusion: Laparoscopic resection of paraaortic or paracaval neurogenic tumors is feasible in experienced hands. Surgeons should be familiar with detaching maneuvers around great vessels and the mobilization of adjacent organs. Careful preoperative planning is mandatory.
資源タイプ
学術雑誌論文
出版タイプ
Accepted Manuscript
権利情報
The final publication is available at link.springer.com
PISSN
0930-2794
関連情報
PMID
26715023
関連情報 (isVersionOf)
出版社版DOI
https://doi.org/10.1007/s00464-015-4740-6