Laparoscopic resection of a paraganglioma located on the border of the thoracic and abdominal cavities using a transabdominal-transdiaphragmatic approach.
We treated a 64-year-old woman with high blood pressure. Catecholamine metabolite levels were elevated in the blood and urine. CT revealed a densely stained tumor on the right side of the descending aorta dorsal to the inferior vena cava. PET-CT revealed abnormal accumulation of (18) F-fluorodeoxyglucose, and (123) I-meta-iodo-benzylguanidine uptake was apparent on scintigraphy. The tumor was determined to be a paraganglioma located on the border between the thoracic and abdominal cavities, and laparoscopic tumorectomy was performed. The patient was placed in the left lateral position. The right lobe of the liver was turned over, and we cut the diaphragm to expose the front of the tumor. We resected the straight artery flowing in from the aorta and removed the tumor safely. Herein, we describe the removal of a paravertebral paraganglioma located in the border of the thoracic and abdominal cavities with a laparoscopic transabdominal-transdiaphragmatic approach.
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine, Maebashi, Japan.
Yutaka
Y
Sunose
Keitaro
K
Hirai
Seshiru
S
Nakazawa
Daisuke
D
Yoshinari
Hiroomi
H
Ogawa
Hiroshi
H
Tsukagoshi
Norifumi
N
Takahashi
Hodaka
H
Yamazaki
Yoko
Y
Motegi
Yohei
Y
Miyamae
Takamichi
T
Igarashi
Kengo
K
Takahashi
Ryuji
R
Katoh
Kazumi
K
Tanaka
Izumi
I
Takeyoshi
D034841:Abdominal Cavity; D000008:Abdominal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D003964:Diaphragm / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010235:Paraganglioma / Q000175:diagnosis / Q000601:surgery*; D035423:Thoracic Cavity; D013899:Thoracic Neoplasms / Q000175:diagnosis / Q000601:surgery*
Abdominal cavity; laparoscopy; paraganglioma