Premium
Laparoscopic resection of a paraganglioma located on the border of the thoracic and abdominal cavities using a transabdominal‐transdiaphragmatic approach
Author(s) -
Sunose Yutaka,
Hirai Keitaro,
Nakazawa Seshiru,
Yoshinari Daisuke,
Ogawa Hiroomi,
Tsukagoshi Hiroshi,
Takahashi Norifumi,
Yamazaki Hodaka,
Motegi Yoko,
Miyamae Yohei,
Igarashi Takamichi,
Takahashi Kengo,
Katoh Ryuji,
Tanaka Kazumi,
Takeyoshi Izumi
Publication year - 2015
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12168
Subject(s) - medicine , diaphragm (acoustics) , paraganglioma , abdominal aorta , inferior vena cava , aorta , radiology , thoracic cavity , thoracic aorta , descending aorta , surgery , physics , acoustics , loudspeaker
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.