Retroperitoneal Laparoscopic Management of Paraganglioma: A Single Institute Experience.

OBJECTIVES:To explore the feasibility and safety of retroperitoneal laparoscopic resection of paraganglioma (RLPG) in a large study population. METHODS:In a six-year period, 49 patients with primary retroperitoneal paragangliomas (PG) underwent retroperitoneal laparoscopic surgery in a single center...

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Main Authors: Weifeng Xu, Hanzhong Li, Zhigang Ji, Weigang Yan, Yushi Zhang, Xuebin Zhang, Qian Li
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4757081?pdf=render
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author Weifeng Xu
Hanzhong Li
Zhigang Ji
Weigang Yan
Yushi Zhang
Xuebin Zhang
Qian Li
author_facet Weifeng Xu
Hanzhong Li
Zhigang Ji
Weigang Yan
Yushi Zhang
Xuebin Zhang
Qian Li
author_sort Weifeng Xu
collection DOAJ
description OBJECTIVES:To explore the feasibility and safety of retroperitoneal laparoscopic resection of paraganglioma (RLPG) in a large study population. METHODS:In a six-year period, 49 patients with primary retroperitoneal paragangliomas (PG) underwent retroperitoneal laparoscopic surgery in a single center. Medical records were reviewed, and collected the following data, which were clinical characteristics, perioperative data (operative time, estimated blood loss, intraoperative hemodynamic changes, intraoperative and postoperative complications, and open conversions), and follow-up data (recurrence or distant metastases). RESULTS:All PGs were removed with negative tumor margin confirmed by postoperative histopathology. The operative time of RLPG was 101.59±31.12 minutes, and the estimated blood loss was 169.78±176.70ml. Intraoperative hypertensive and hypotensive episodes occurred in 25 cases and 27 cases, respectively. Two open conversions occurred. Two intraoperative complications occurred but were successfully managed endoscopically. Postoperative complications were minor and unremarkable. No local recurrence or distant metastasis were observed during the follow-up period. CONCLUSIONS:Our experience indicates the feasibility and safety of resection of PGs in a relatively large study population.
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spelling doaj.art-e3506e59c47941a7bc281491847388d92022-12-21T18:22:09ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01112e014943310.1371/journal.pone.0149433Retroperitoneal Laparoscopic Management of Paraganglioma: A Single Institute Experience.Weifeng XuHanzhong LiZhigang JiWeigang YanYushi ZhangXuebin ZhangQian LiOBJECTIVES:To explore the feasibility and safety of retroperitoneal laparoscopic resection of paraganglioma (RLPG) in a large study population. METHODS:In a six-year period, 49 patients with primary retroperitoneal paragangliomas (PG) underwent retroperitoneal laparoscopic surgery in a single center. Medical records were reviewed, and collected the following data, which were clinical characteristics, perioperative data (operative time, estimated blood loss, intraoperative hemodynamic changes, intraoperative and postoperative complications, and open conversions), and follow-up data (recurrence or distant metastases). RESULTS:All PGs were removed with negative tumor margin confirmed by postoperative histopathology. The operative time of RLPG was 101.59±31.12 minutes, and the estimated blood loss was 169.78±176.70ml. Intraoperative hypertensive and hypotensive episodes occurred in 25 cases and 27 cases, respectively. Two open conversions occurred. Two intraoperative complications occurred but were successfully managed endoscopically. Postoperative complications were minor and unremarkable. No local recurrence or distant metastasis were observed during the follow-up period. CONCLUSIONS:Our experience indicates the feasibility and safety of resection of PGs in a relatively large study population.http://europepmc.org/articles/PMC4757081?pdf=render
spellingShingle Weifeng Xu
Hanzhong Li
Zhigang Ji
Weigang Yan
Yushi Zhang
Xuebin Zhang
Qian Li
Retroperitoneal Laparoscopic Management of Paraganglioma: A Single Institute Experience.
PLoS ONE
title Retroperitoneal Laparoscopic Management of Paraganglioma: A Single Institute Experience.
title_full Retroperitoneal Laparoscopic Management of Paraganglioma: A Single Institute Experience.
title_fullStr Retroperitoneal Laparoscopic Management of Paraganglioma: A Single Institute Experience.
title_full_unstemmed Retroperitoneal Laparoscopic Management of Paraganglioma: A Single Institute Experience.
title_short Retroperitoneal Laparoscopic Management of Paraganglioma: A Single Institute Experience.
title_sort retroperitoneal laparoscopic management of paraganglioma a single institute experience
url http://europepmc.org/articles/PMC4757081?pdf=render
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