Liu C, Wen J, Li HZ, Ji ZG. Combined thoracoscopic and laparoscopic approach to remove a large retroperitoneal compound paraganglioma: A case report. World J Clin Cases 2021; 9(23): 6935-6942 [PMID: 34447845 DOI: 10.12998/wjcc.v9.i23.6935]
Corresponding Author of This Article
Jin Wen, MD, Associate Professor, Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1 Shuaifuyuan, Dongcheng District, Beijing 100730, China. wjpumch@163.com
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Aug 16, 2021; 9(23): 6935-6942 Published online Aug 16, 2021. doi: 10.12998/wjcc.v9.i23.6935
Combined thoracoscopic and laparoscopic approach to remove a large retroperitoneal compound paraganglioma: A case report
Chang Liu, Jin Wen, Han-Zhong Li, Zhi-Gang Ji
Chang Liu, Department of Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
Jin Wen, Han-Zhong Li, Zhi-Gang Ji, Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
Author contributions: Liu C participated in the writing of the manuscript; Wen J contributed to the editing of the manuscript; Li HZ and Ji ZG served as scientific advisors; all authors have read and approved the final manuscript.
Supported bythe Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences, No. 2019XK320027; and the Project Management Fund for Foreign Cultural and Educational Experts, No. G20190001645.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no competing interests related to this manuscript.
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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jin Wen, MD, Associate Professor, Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1 Shuaifuyuan, Dongcheng District, Beijing 100730, China. wjpumch@163.com
Received: May 6, 2021 Peer-review started: May 6, 2021 First decision: June 6, 2021 Revised: June 7, 2021 Accepted: June 22, 2021 Article in press: June 22, 2021 Published online: August 16, 2021 Processing time: 91 Days and 9 Hours
Abstract
BACKGROUND
Paragangliomas (PGLs) are rare catecholamine-secreting neuroendocrine tumors, which often present with secondary hypertension. The most common location is the retroperitoneal space. For the first time, we report a rare case of large retroperitoneal compound PGL, and we have innovatively applied a new surgical plan to completely remove the tumor.
CASE SUMMARY
A 55-year-old middle-aged man was admitted to the hospital for fluctuating blood pressure for more than 1 year with intermittent headache. He suffered dozens of attacks every day. Blood and urine catecholamines were elevated, somatostatin receptor imaging was positive, and the diagnosis of PGL was clear. The imaging examination revealed a large tumor on the right front of the mediastinal spine at the level of T10-L1 (the posterior space of the right phrenic foot). For the first time in our department, a combined thoracoscopic and laparoscopic operation was used to detect and remove large tumors.
CONCLUSION
This is the first reported case of using a thoracoscopic and laparoscopic approach simultaneously to remove a large retroperitoneal compound PGL, which may provide a new surgical approach for similar cases.
Core Tip: We report a rare case of large retroperitoneal compound paraganglioma (PGL) for the first time, and a combined thoracoscopic and laparoscopic operation was used to detect and remove the large tumor. This is the first reported case of using a thoracoscopic and laparoscopic approach simultaneously to remove a large retroperitoneal compound PGL.
