Laparoscopic resection of nonadrenal ganglioneuromas: Case report

Medically Reviewed By : Dr. Kamal Kant Kohli

Published On 2021-01-27 03:15 GMT | Update On 2021-01-27 08:52 GMT

Dr Shinnosuke Nagano and colleagues from the Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Osaka, Japan recently reported an interesting case report of the treatment of nonadrenal ganglioneuromas done by Laparoscopic resection.

The study is published in the International Journal of Surgery Case Reports.

Ganglioneuromas are well-differentiated benign tumors that arise from sympathetic ganglion cells. Ganglioneuromas are difficult to diagnose preoperatively, so surgical complete resection combined with diagnostic treatment is recommended. In ganglioneuromas of the retroperitoneum, nonadrenal cases are resected by laparotomy due to the proximity to major vessels. There have been few reports of laparoscopic resection for retroperitoneal paraaortic ganglioneuromas.

However, the authors reported the present study wherein they studied a case of a 49-year-old female patient who presented with epigastric pain in which laparoscopic resection was required for a 90-mm ganglioneuroma adhered to the aorta and inferior mesenteric artery.

On Computed tomography scan, the authors observed a 90 mm retroperitoneal tumor, partially located between the aorta and inferior mesenteric artery. A definitive diagnosis was not obtained, and laparoscopic excision of the retroperitoneal tumor was performed transabdominally. The patient recovered without postoperative complications and left the hospital on a postoperative day 8. Postoperative pathological findings revealed a ganglioneuroma from the abdominal periaortic plexus.

Thereafter, the literature revealed that the nonadrenal ganglioneuromas resected laparoscopically using a transabdominal approach was mostly observed in individuals with a median age of 33 years with the median tumor size being 50 mm. Regarding the surgical results, the median operative time was 170.5 min, median blood loss was 21.5 mL, and the median postoperative stay was 7 days.

Hence, the authors concluded that "laparoscopic resection of nonadrenal ganglioneuromas are feasible even when a tumor adheres to major blood vessels if there is no evidence of local invasion or malignancy on the basis of various preoperative examinations."

For further reference, log in to:

https://doi.org/10.1016/j.ijscr.2020.11.127

Article Source : International Journal of Surgery Case Reports

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Dr. Nandita Mohan

Dr. Nandita Mohan is a practicing pediatric dentist with more than 5 years of clinical work experience. Along with this, she is equally interested in keeping herself up to date about the latest developments in the field of medicine and dentistry which is the driving force for her to be in association with Medical Dialogues. She also has her name attached with many publications; both national and international. She has pursued her BDS from Rajiv Gandhi University of Health Sciences, Bangalore and later went to enter her dream specialty (MDS) in the Department of Pedodontics and Preventive Dentistry from Pt. B.D. Sharma University of Health Sciences. Through all the years of experience, her core interest in learning something new has never stopped. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751

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Laparoscopic resection of nonadrenal ganglioneuromas: Case report

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