Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2025; 17(8): 109213
Published online Aug 27, 2025. doi: 10.4240/wjgs.v17.i8.109213
Resection of a ganglioneuroma encasing major blood vessels using three-dimensional laparoscopy combined with organ suspension: A case report
Guo-Zhen Wu, Shen-Zhe Fang, Shi-An Yu, Min Yu
Guo-Zhen Wu, Shen-Zhe Fang, Shi-An Yu, Min Yu, Department of Hepatobiliary and Pancreatic Surgery, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, Zhejiang Province, China
Author contributions: Wu GZ wrote the manuscript; Fang SZ participated in data collection; Yu SA helped revise the manuscript; Yu M designed the study; and all authors have read and approved the final manuscript.
Supported by the Zhejiang Medical Science and Technology Project, No. 2022KY1325 and No. 2023KY381; Public Welfare Project of Jinhua Science and Technology Plan, No. 2023-4-084; and Major Project of Jinhua Science and Technology Plan, No. 2023-3-066.
Informed consent statement: Informed written consent was obtained from the patient for publication of the case report and accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Min Yu, Chief Physician, Professor, Department of Hepatobiliary and Pancreatic Surgery, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, No. 365 Renmin East Road, Wucheng District, Jinhua 321000, Zhejiang Province, China. greendoctor@163.com
Received: May 7, 2025
Revised: May 21, 2025
Accepted: July 9, 2025
Published online: August 27, 2025
Processing time: 114 Days and 22.6 Hours
Core Tip

Core Tip: Ganglioneuroma is a rare, well-differentiated, slow-growing benign tumor, with surgical resection being the only curative treatment. However, resecting ganglioneuromas that encase major blood vessels presents substantial technical challenges. Here, we present the first case of a retroperitoneal ganglioneuroma encasing the celiac axis and superior mesenteric artery, successfully resected with preservation of all vital vessels using three-dimensional laparoscopic surgery combined with organ suspension techniques. This case highlights the feasibility of minimally invasive laparoscopic approaches for managing complex retroperitoneal ganglioneuromas encasing major blood vessels.