PMID: 11330383May 2, 2001Paper

Laparoscopic excision of retroperitoneal tumors: technique and review of the laparoscopic experience

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
M O CadedduE C Poulin

Abstract

A technique for laparoscopic excision of benign retroperitoneal tumors, including a teratoma and two cystic lesions, is described. Laparoscopic resection of a 12-cm retroperitoneal teratoma was accomplished with the patient in the left lateral decubitus position. Medial mobilization of the ascending colon and the duodenum was required for access to the lesion. Resections of two cystic lesions (measuring 20 cm and 12 cm) were performed with the patients in the lithotomy position. The colon required medial mobilization in both cases to gain access to the cysts. Once the cysts were dissected from surrounding structures, they were punctured, and the aspirated fluid was sent for cytologic analysis. There were no complications or conversions. Mean operating time was 122 minutes (range, 80-190). Patients were discharged 1 day after surgery, requiring only nonsteroidal anti-inflammatory medications for analgesia. Retroperitoneal tumors can be resected laparoscopically with careful preoperative investigation and meticulous laparoscopic technique. A major advantage of laparoscopic resections is that the patient recovers rapidly with minimal morbidity.

References

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Citations

Jan 27, 2009·Surgical Endoscopy·Pierre AllemannJacques Marescaux
Jun 12, 2013·Journal of Gastrointestinal Cancer·Aikaterini MastorakiNikolaos Arkadopoulos
Jan 27, 2009·Radiographics : a Review Publication of the Radiological Society of North America, Inc·William D CraigJoel H Barton
Oct 7, 2008·World Journal of Surgical Oncology·Theodosios TheodosopoulosDionysios Voros
May 25, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Jared Murdock, Maher A Abbas
Apr 1, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Vivek BindalNikunj Bansal
Jun 18, 2009·World Journal of Gastroenterology : WJG·Bum-Soo KimJeong-Yoon Song
Nov 14, 2007·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·H Sagili, M Divers
Oct 6, 2009·Gastroenterología y hepatología·Pedro J Rosón RodríguezBelén Quintero Barranco
May 29, 2018·Asian Journal of Endoscopic Surgery·Manato OhsawaNaoki Hirabayashi
Apr 28, 2004·Journal of Surgical Oncology·Heather G GatcombePeter A S Johnstone

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