title: Laparoscopic extirpation of giant adrenal ganglioneuroma.
abstract: Laparoscopic adrenalectomy is the standard of care for management of adrenal neoplasms. However, large sized adrenal lesions are considered as relative contraindication for laparoscopic extirpation. We report laparoscopic excision of giant ganglioneuroma of adrenal gland in a 33-year-old female patient. Patient was presented with left loin pain of 2 months duration. Computed tomography (CT) scan was suggestive of non-enhancing left suprarenal mass measuring 17 × 10 cm. Preoperative endocrine evaluation ruled out functional adrenal tumor. Patient underwent transperitoneal excision of suprarenal mass. The lesion could be completely extirpated laparoscopically. Duration of surgery was 250 minutes. Estimated blood loss was 230 milliliters. Specimen was extracted through pfannenstiel incision. No significant intraoperative or postoperative happenings were recorded. Microscopic features were suggestive of ganglioneuroma of adrenal gland.
authors: Department of Urology, Lakeshore Hospital, Kochi, India.
authors: George P
authors: GP
authors: Abraham
authors: Department of Urology, Lakeshore Hospital, Kochi, India.
authors: Avinash T
authors: AT
authors: Siddaiah
authors: Department of Urology, Lakeshore Hospital, Kochi, India.
authors: Krishanu
authors: K
authors: Das
authors: Department of Urology, Lakeshore Hospital, Kochi, India.
authors: Ramaswami
authors: R
authors: Krishnamohan
authors: Department of Urology, Lakeshore Hospital, Kochi, India.
authors: Datson P
authors: DP
authors: George
authors: Department of Urology, Lakeshore Hospital, Kochi, India.
authors: Jisha J
authors: JJ
authors: Abraham
authors: Department of Pathology, Lakeshore Hospital, Kochi, India.
authors: Sreerenjini K
authors: SK
authors: Chandramathy
keywords: Adrenal; diagnosis; laparoscopy; suprarenal; transperitoneal