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AB134. Operation experience of complicated paraganglioma

OBJECTIVE: To discuss the retroperitoneal laparoscopic surgery of complicated paraganglioma. METHODS: We analyzed 5 patients with complicated paraganglioma admitted in our hospital from 1997 to 2015 retrospectively. All the 5 patients had hypertension, and accompanied with paroxysmal elevation. Endo...

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Autores principales: Li, Shengwen, Li, Qiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4842649/
http://dx.doi.org/10.21037/tau.2016.s134
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author Li, Shengwen
Li, Qiang
author_facet Li, Shengwen
Li, Qiang
author_sort Li, Shengwen
collection PubMed
description OBJECTIVE: To discuss the retroperitoneal laparoscopic surgery of complicated paraganglioma. METHODS: We analyzed 5 patients with complicated paraganglioma admitted in our hospital from 1997 to 2015 retrospectively. All the 5 patients had hypertension, and accompanied with paroxysmal elevation. Endocrine examination and CT, MRI were done before operation. The tumors were in sphere with diameters between 2.8 to 6.0 cm. All tumors located besides the renal hilum, and were adjacent to abdominal aorta, inferior vena cava, renal artery and vein, renal pelvis, duodenum and pancreas, which increase the difficulty of operation. After pre-operation preparations with ? receptor blocker to expand the capacity of vessel for 4 weeks, the tumors were excised with retroperitoneal laparoscopy under general anaesthesia. The key points to these operations were to refer to the imaging results, and use ultrasonic knife to separate the tumor through the area with less organs and vessels. RESULTS: All the 5 paragangliomas were excised completely, without any harm to the adjacent organs and vessels. The operation time ranged from 2 hours and 10 minutes to 3 hours and 30 minutes. The amount of bleeding was between 10 to 150 mL. No transfusion was needed. The pathology results of 5 tumors were all paraganglioma. After 4 months to 2 years following up, no recurrence of tumor was found, and the blood pressure remind stable. CONCLUSIONS: Retroperitoneal laparoscopic operation has more advantages compared with trans-abdominal laparoscopy, with less damages and side effects. Reaching the surface of tumor firstly and then beginning to separate the tumor is a safe, efficient and reliable method for complicated paraganglioma.
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spelling pubmed-48426492016-05-09 AB134. Operation experience of complicated paraganglioma Li, Shengwen Li, Qiang Transl Androl Urol Printed Abstracts OBJECTIVE: To discuss the retroperitoneal laparoscopic surgery of complicated paraganglioma. METHODS: We analyzed 5 patients with complicated paraganglioma admitted in our hospital from 1997 to 2015 retrospectively. All the 5 patients had hypertension, and accompanied with paroxysmal elevation. Endocrine examination and CT, MRI were done before operation. The tumors were in sphere with diameters between 2.8 to 6.0 cm. All tumors located besides the renal hilum, and were adjacent to abdominal aorta, inferior vena cava, renal artery and vein, renal pelvis, duodenum and pancreas, which increase the difficulty of operation. After pre-operation preparations with ? receptor blocker to expand the capacity of vessel for 4 weeks, the tumors were excised with retroperitoneal laparoscopy under general anaesthesia. The key points to these operations were to refer to the imaging results, and use ultrasonic knife to separate the tumor through the area with less organs and vessels. RESULTS: All the 5 paragangliomas were excised completely, without any harm to the adjacent organs and vessels. The operation time ranged from 2 hours and 10 minutes to 3 hours and 30 minutes. The amount of bleeding was between 10 to 150 mL. No transfusion was needed. The pathology results of 5 tumors were all paraganglioma. After 4 months to 2 years following up, no recurrence of tumor was found, and the blood pressure remind stable. CONCLUSIONS: Retroperitoneal laparoscopic operation has more advantages compared with trans-abdominal laparoscopy, with less damages and side effects. Reaching the surface of tumor firstly and then beginning to separate the tumor is a safe, efficient and reliable method for complicated paraganglioma. AME Publishing Company 2016-04 /pmc/articles/PMC4842649/ http://dx.doi.org/10.21037/tau.2016.s134 Text en 2016 Translational Andrology and Urology. All rights reserved.
spellingShingle Printed Abstracts
Li, Shengwen
Li, Qiang
AB134. Operation experience of complicated paraganglioma
title AB134. Operation experience of complicated paraganglioma
title_full AB134. Operation experience of complicated paraganglioma
title_fullStr AB134. Operation experience of complicated paraganglioma
title_full_unstemmed AB134. Operation experience of complicated paraganglioma
title_short AB134. Operation experience of complicated paraganglioma
title_sort ab134. operation experience of complicated paraganglioma
topic Printed Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4842649/
http://dx.doi.org/10.21037/tau.2016.s134
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