Laparoscopic resection of retroperitoneal paraganglioma behind the Spiegel lobe in a kyphotic patient: A rare case report. Issue 3 (17th July 2018)

• Record Type: Journal Article
• Authors: Ogawa, Hisataka; Nakahira, Shin; Kishimoto, Tomoya; Kato, Kazuya; Hasegawa, Makoto; Oyama, Keisuke; Tou, Takayuki; Maki, Ryosuke; Himura, Hoshi; Nishi, Hidemi; Ohhara, Nobuyoshi; Mikami, Jota; Makari, Yoichi; Nakata, Ken; Tsujie, Masaki; Fujita, Junya; Ohzato, Hiroki
• Is Part Of: Asian journal of endoscopic surgery. Volume 12:Issue 3(2019)
• Page Start: 344
• Page End: 347
• Publication Date: 2018-07-17
• Subjects: Kyphosis -- liver mobilization -- paraganglioma; Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.12631
• Languages: English
• ISSNs: 1758-5902

Abstract

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.