Robot-Assisted Excision of a Retroperitoneal Mass Between the Left Renal Artery and Vein

被引:17
作者
Lehrfeld, Todd
Natale, Rachel [1 ]
Sharma, Saurabh [1 ]
Mendoza, Pierre J. [1 ]
Schwab, Charles W., II [1 ]
Lee, David I. [1 ]
机构
[1] Penn Presbyterian Med Ctr, Philadelphia, PA 19104 USA
关键词
Pheochromocytoma; Extra-adrenal; Retroperitoneal mass; da Vinci; Robotic; Laparoscopic; Renal hilum; PHEOCHROMOCYTOMA; DIAGNOSIS; PARAGANGLIOMA; MANAGEMENT; LOCALIZATION; MUTATIONS; FEATURES; UPDATE; SDHB; GENE;
D O I
10.4293/108680810X12924466006927
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Extra-adrenal pheochromocytomas are rare. Minimally invasive techniques have been utilized for incidentally discovered masses with successful results. Methods: We present a case of a 64-year-old female with a 3.5-cm mass located between her left renal artery and vein, treated by a 4-port robot-assisted transperitoneal laparoscopic approach. Results: Careful dissection of the tumor away from the renal hilum was accomplished without major vascular injury. A pedicle to the tumor was identified and ligated. The pathology demonstrated a benign pheochromocytoma. To our knowledge, this is the first report of a peri-hilar excision of a pheochromocytoma using this approach. Conclusion: Extra-adrenal pheochromocytomas are rare and can present in difficult locations. While surgical excision may be challenging, the da Vinci Robot may be used effectively and safely for the treatment of these perihilar masses.
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收藏
页码:447 / 449
页数:3
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