Robotic and standard surgical intervention as adjunct therapies for retroperitoneal ganglioneuroma resection: a case report
Abstract Background Ganglioneuroma (GN) is ranked by the International Neuroblastoma Pathology Classification as a benign tumor. It can occur anywhere along the sympathetic nerve chain and surgical excision is the treatment of choice. Case presentation An 18-year-old female patient sought medical as...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-03-01
|
| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12893-021-01146-x |
| _version_ | 1818616147548831744 |
|---|---|
| author | Wagner M. Tavares Sabrina Araujo de Franca Amsterdam S. Vasconcelos David S. L. Parra Sergio R. R. Araújo Manoel J. Teixeira |
| author_facet | Wagner M. Tavares Sabrina Araujo de Franca Amsterdam S. Vasconcelos David S. L. Parra Sergio R. R. Araújo Manoel J. Teixeira |
| author_sort | Wagner M. Tavares |
| collection | DOAJ |
| description | Abstract Background Ganglioneuroma (GN) is ranked by the International Neuroblastoma Pathology Classification as a benign tumor. It can occur anywhere along the sympathetic nerve chain and surgical excision is the treatment of choice. Case presentation An 18-year-old female patient sought medical assistance after 6 months of constant dorsal and back pain radiating from the thoracic region to the right abdominal flank. Magnetic resonance imaging revealed a solid nodular lesion with heterogeneous post-contrast enhancement and lobulated contours, centered on the right foramina of D12–L1, with a projection to the intracanal space, which compressed and laterally displaced the dural sac and had a right paravertebral extension between the vertebral bodies of D11 and superior aspect of L2. Ganglioneuroma was diagnosed using immunohistochemical analysis. It was decided to use a surgical approach in two stages: robot assisted for the anterior/retroperitoneal mass and a posterior hemilaminectomy/microsurgical approach to attempt total resection, avoiding the traditional anterior thoracoabdominal surgical incision and optimizing the patient’s postoperative outcomes. No postoperative adverse events were noted, and the patient was discharged on postoperative day 5. Conclusion This retroperitoneal GN presentation was peculiar because it originated at the D12 nerve root, which extended to the retroperitoneal space and inside the spinal canal. We hope that our case report can assist future decisions in similar circumstances. |
| first_indexed | 2024-12-16T16:45:11Z |
| format | Article |
| id | doaj.art-5ba243704cd346c2baf1547c231178b6 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-16T16:45:11Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-5ba243704cd346c2baf1547c231178b62022-12-21T22:24:13ZengBMCBMC Surgery1471-24822021-03-012111610.1186/s12893-021-01146-xRobotic and standard surgical intervention as adjunct therapies for retroperitoneal ganglioneuroma resection: a case reportWagner M. Tavares0Sabrina Araujo de Franca1Amsterdam S. Vasconcelos2David S. L. Parra3Sergio R. R. Araújo4Manoel J. Teixeira5Department of Research of IPSPAC, Instituto Paulista de Saúde Para Alta ComplexidadeDepartment of Research of IPSPAC, Instituto Paulista de Saúde Para Alta ComplexidadeSurgical Oncology Department, Hospital Santa CatarinaDepartment of Research of IPSPAC, Instituto Paulista de Saúde Para Alta ComplexidadeLabPac, Laboratório Anatomia Patológica Imuno-Histoquímica CitopatologicaInstitute of Neurology, University of São PauloAbstract Background Ganglioneuroma (GN) is ranked by the International Neuroblastoma Pathology Classification as a benign tumor. It can occur anywhere along the sympathetic nerve chain and surgical excision is the treatment of choice. Case presentation An 18-year-old female patient sought medical assistance after 6 months of constant dorsal and back pain radiating from the thoracic region to the right abdominal flank. Magnetic resonance imaging revealed a solid nodular lesion with heterogeneous post-contrast enhancement and lobulated contours, centered on the right foramina of D12–L1, with a projection to the intracanal space, which compressed and laterally displaced the dural sac and had a right paravertebral extension between the vertebral bodies of D11 and superior aspect of L2. Ganglioneuroma was diagnosed using immunohistochemical analysis. It was decided to use a surgical approach in two stages: robot assisted for the anterior/retroperitoneal mass and a posterior hemilaminectomy/microsurgical approach to attempt total resection, avoiding the traditional anterior thoracoabdominal surgical incision and optimizing the patient’s postoperative outcomes. No postoperative adverse events were noted, and the patient was discharged on postoperative day 5. Conclusion This retroperitoneal GN presentation was peculiar because it originated at the D12 nerve root, which extended to the retroperitoneal space and inside the spinal canal. We hope that our case report can assist future decisions in similar circumstances.https://doi.org/10.1186/s12893-021-01146-xAdjunct surgeryCase reportGanglioneuromaRetroperitonealRobotic assisted surgery |
| spellingShingle | Wagner M. Tavares Sabrina Araujo de Franca Amsterdam S. Vasconcelos David S. L. Parra Sergio R. R. Araújo Manoel J. Teixeira Robotic and standard surgical intervention as adjunct therapies for retroperitoneal ganglioneuroma resection: a case report BMC Surgery Adjunct surgery Case report Ganglioneuroma Retroperitoneal Robotic assisted surgery |
| title | Robotic and standard surgical intervention as adjunct therapies for retroperitoneal ganglioneuroma resection: a case report |
| title_full | Robotic and standard surgical intervention as adjunct therapies for retroperitoneal ganglioneuroma resection: a case report |
| title_fullStr | Robotic and standard surgical intervention as adjunct therapies for retroperitoneal ganglioneuroma resection: a case report |
| title_full_unstemmed | Robotic and standard surgical intervention as adjunct therapies for retroperitoneal ganglioneuroma resection: a case report |
| title_short | Robotic and standard surgical intervention as adjunct therapies for retroperitoneal ganglioneuroma resection: a case report |
| title_sort | robotic and standard surgical intervention as adjunct therapies for retroperitoneal ganglioneuroma resection a case report |
| topic | Adjunct surgery Case report Ganglioneuroma Retroperitoneal Robotic assisted surgery |
| url | https://doi.org/10.1186/s12893-021-01146-x |
| work_keys_str_mv | AT wagnermtavares roboticandstandardsurgicalinterventionasadjuncttherapiesforretroperitonealganglioneuromaresectionacasereport AT sabrinaaraujodefranca roboticandstandardsurgicalinterventionasadjuncttherapiesforretroperitonealganglioneuromaresectionacasereport AT amsterdamsvasconcelos roboticandstandardsurgicalinterventionasadjuncttherapiesforretroperitonealganglioneuromaresectionacasereport AT davidslparra roboticandstandardsurgicalinterventionasadjuncttherapiesforretroperitonealganglioneuromaresectionacasereport AT sergiorraraujo roboticandstandardsurgicalinterventionasadjuncttherapiesforretroperitonealganglioneuromaresectionacasereport AT manoeljteixeira roboticandstandardsurgicalinterventionasadjuncttherapiesforretroperitonealganglioneuromaresectionacasereport |