Laparoscopic Resection of Retrocaval Non-functioning Paraganglioma

Journal of Minimally Invasive Surgery 2014³â 17±Ç 1È£ p.15 ~ p.19

À̹®¼ö(Lee Moon-Soo) - Eulji University Hospital Department of Surgery
°­À±Áß(Kang Yoon-Jung) - Eulji University Hospital Department of Surgery
ÇÑÇö¿µ(Han Hyun-Young) - Eulji University Hospital Department of Radiology
¼ÕÇöÁø(Son Hyun-Jin) - Eulji University Hospital Department of Pathology
ÀÌÀç¹Î(Lee Jae-Min) - Eulji University Hospital Department of Internal Medicine

Abstract

Retroperitoneal paraganglioma is located primarily at the para-aortic area and functioning tumor, however, non-func-tioning and retrocaval located tumors are rare. Laparoscopic retrocaval paraganglioma resection is technically challenging due to vena cava close relation. A 49-year-old male was re-ferred for a retroperitoneal tumor, detected by FDG-PET scan. He had undergone right thyroidectomy for papillary carcinoma one year ago. Abdominal computed tomography (CT) scan showed a mass measuring 2 cm in size located behind the inferior vena cava (IVC), which deviate IVC anteriorly. I123-metaiodobenzylguanidine (MIBG) scan also demonstrated abnormal focal activity. Result of preoperative adrenal function test was normal. A laparoscopic retrocaval tumor excision was performed successfully. The operative time was 160 minutes. The patient¡¯s postoperative recovery was uneventful and he was discharged on the fourth postoperative day. Pathologic examination was consistent with the diagnosis of paragan-glioma. To the best of our knowledge, this is the first report on laparoscopic resection of a retrocaval non-functioning paraganglioma. In conclusion, laparoscopic retrocaval para-ganglioma resection is safe and feasible.

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Paraganglioma, Non-functioning, Retrocaval, Laparoscopic
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