Thoracoscopic resection of posterior mediastinal paraganglioma: perioperative management and surgical tips

Posterior mediastinal paraganglioma (PM-PGL) is a rare disease that is difficult to diagnose. If PM-PGL is misdiagnosed preoperatively, surgeons may encounter severe tachycardia and hypertension and easy bleeding from the tumor during the operation. Therefore, it is essential to include PGL as a dif...

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Autores principales: Matsumura, Yuki, Fukuhara, Mitsuro, Tanabe, Hayato, Yamaguchi, Hikaru, Takagi, Hironori, Ozaki, Yuki, Muto, Satoshi, Okabe, Naoyuki, Shio, Yutaka, Suzuki, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9169261/
https://www.ncbi.nlm.nih.gov/pubmed/35668526
http://dx.doi.org/10.1186/s13019-022-01892-w
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author Matsumura, Yuki
Fukuhara, Mitsuro
Tanabe, Hayato
Yamaguchi, Hikaru
Takagi, Hironori
Ozaki, Yuki
Muto, Satoshi
Okabe, Naoyuki
Shio, Yutaka
Suzuki, Hiroyuki
author_facet Matsumura, Yuki
Fukuhara, Mitsuro
Tanabe, Hayato
Yamaguchi, Hikaru
Takagi, Hironori
Ozaki, Yuki
Muto, Satoshi
Okabe, Naoyuki
Shio, Yutaka
Suzuki, Hiroyuki
author_sort Matsumura, Yuki
collection PubMed
description Posterior mediastinal paraganglioma (PM-PGL) is a rare disease that is difficult to diagnose. If PM-PGL is misdiagnosed preoperatively, surgeons may encounter severe tachycardia and hypertension and easy bleeding from the tumor during the operation. Therefore, it is essential to include PGL as a differential diagnosis for mediastinal tumors. We herein describe a 73-year-old Japanese man with a PM-PGL that was diagnosed preoperatively and resected safely by video-assisted thoracic surgery. Preoperative management of hypertension with doxazosin mesylate, soft coagulation of the peritumor area, and careful clipping of feeding arteries were effective for hemostasis. The patient’s vital signs were stable during and after the operation. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13019-022-01892-w.
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spelling pubmed-91692612022-06-07 Thoracoscopic resection of posterior mediastinal paraganglioma: perioperative management and surgical tips Matsumura, Yuki Fukuhara, Mitsuro Tanabe, Hayato Yamaguchi, Hikaru Takagi, Hironori Ozaki, Yuki Muto, Satoshi Okabe, Naoyuki Shio, Yutaka Suzuki, Hiroyuki J Cardiothorac Surg Case Report Posterior mediastinal paraganglioma (PM-PGL) is a rare disease that is difficult to diagnose. If PM-PGL is misdiagnosed preoperatively, surgeons may encounter severe tachycardia and hypertension and easy bleeding from the tumor during the operation. Therefore, it is essential to include PGL as a differential diagnosis for mediastinal tumors. We herein describe a 73-year-old Japanese man with a PM-PGL that was diagnosed preoperatively and resected safely by video-assisted thoracic surgery. Preoperative management of hypertension with doxazosin mesylate, soft coagulation of the peritumor area, and careful clipping of feeding arteries were effective for hemostasis. The patient’s vital signs were stable during and after the operation. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13019-022-01892-w. BioMed Central 2022-06-06 /pmc/articles/PMC9169261/ /pubmed/35668526 http://dx.doi.org/10.1186/s13019-022-01892-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Matsumura, Yuki
Fukuhara, Mitsuro
Tanabe, Hayato
Yamaguchi, Hikaru
Takagi, Hironori
Ozaki, Yuki
Muto, Satoshi
Okabe, Naoyuki
Shio, Yutaka
Suzuki, Hiroyuki
Thoracoscopic resection of posterior mediastinal paraganglioma: perioperative management and surgical tips
title Thoracoscopic resection of posterior mediastinal paraganglioma: perioperative management and surgical tips
title_full Thoracoscopic resection of posterior mediastinal paraganglioma: perioperative management and surgical tips
title_fullStr Thoracoscopic resection of posterior mediastinal paraganglioma: perioperative management and surgical tips
title_full_unstemmed Thoracoscopic resection of posterior mediastinal paraganglioma: perioperative management and surgical tips
title_short Thoracoscopic resection of posterior mediastinal paraganglioma: perioperative management and surgical tips
title_sort thoracoscopic resection of posterior mediastinal paraganglioma: perioperative management and surgical tips
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9169261/
https://www.ncbi.nlm.nih.gov/pubmed/35668526
http://dx.doi.org/10.1186/s13019-022-01892-w
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