Total laparoscopic excision of retroperitoneal ganglioneuroma using the hanging method and a vessel-sealing device.
An 11-year-old girl presented with a homogeneous right retroperitoneal tumor 5 cm in diameter. Nonfunctioning benign neurogenic tumor was suspected, and a laparoscopic resection was performed. The inferior vena cava ran just behind the tumor, and there were small vessels between the tumor and inferior vena cava. To create a space behind the tumor, we suspended the tumor by using a traction suture, and to obtain adequate hemostasis, we used a vessel-sealing device. The tumor was safely removed and the pathological diagnosis was benign ganglioneuroma. The postoperative recovery was uneventful, and the patient left her bed and started a regular diet on the postoperative day 1. Laparoscopic surgery is a safe, feasible method for the diagnosis and treatment of benign retroperitoneal tumors, such as ganglioneuroma.
Oue
Takaharu
T
Department of Surgery, Division of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan. ooue@pedsurg.med.osaka-u.ac.jp
Yoneda
Akihiro
A
Sasaki
Takashi
T
Tani
Gakuto
G
Fukuzawa
Masahiro
M
D002648:Child; D005260:Female; D005729:Ganglioneuroma / Q000175:diagnosis / Q000601:surgery*; D006488:Hemostasis, Surgical / Q000295:instrumentation; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D012186:Retroperitoneal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed