Laparoscopic Management of Retroperitoneal Masses: Our Experience and Literature Review

Tsivian, Matvey; Sidi, A. Ami; Tsivian, Alexander
May 2009
World Journal of Laparoscopic Surgery;May-Aug2009, Vol. 2 Issue 2, p1
Academic Journal
Background: Retroperitoneal growths often require surgical exploration for diagnostic and/or therapeutic purposes. Here in, we present our experience in laparoscopic management of retroperitoneal masses and review the literature to assess the feasibility of a minimally invasive approach in this setting. Method: In the last 4 years 8 consecutive patients, aged 46 to 73 years, underwent laparoscopic surgery for isolated retroperitoneal masses at our institution. Medical records were reviewed collecting data regarding clinical presentation, dimensions of the finding, pathology, whether a preoperative biopsy was performed and its results, procedure performed (excision versus incisional biopsy), operative times, estimated blood loss, complications, hospital stay and follow-up. Results: All procedures were successfully completed laparoscopically with no conversions. Mean operative time was 131 minutes. Blood loss was 0-200 mL and blood transfusions were not required. One bowel injury was repaired intraoperatively; postoperative course was uneventful in all cases. Hospital stay ranged from 2 to 7 days. Final pathology was local recurrence of Renal cell carcinoma in 3 cases, 1 lymphoma, 1 sarcoma, 1 schwannoma and 2 retroperitoneal cysts. With an average follow-up of over 2 years there are no recurrences. Conclusion: Laparoscopic approach is a feasible approach in selected patients with retroperitoneal masses. In our experience, laparoscopy offers a viable and oncologically radical option with excellent results and low morbidity. This minimally invasive approach is likely to become more common practice as the experience grows and new technologies become available.


Related Articles

  • Laparoscopic resection of an adrenal pseudocyst mimicking a retroperitoneal mucinous cystic neoplasm. Bum-Soo Kim; Sun-Hyung Joo; Sung-Il Choi; Jeong-Yoon Song; Hirata, Keiji // World Journal of Gastroenterology;6/21/2009, Vol. 15 Issue 23, p2923 

    Adrenal pseudocysts are rare cystic masses that arise within the adrenal gland and are usually non-functional and asymptomatic. Adrenal pseudocysts consist of a fibrous wall without a cellular lining. We report a patient with a 9 cm, left-sided suprarenal cystic mass who presented with abdominal...

  • Massive right hemothorax as the source of hemorrhagic shock after laparoscopic cholecystectomy - case report of a rare intraoperative complication. Cristian, Rapicetta; Massimiliano, Paci; Tommaso, Ricchetti; Sara, Tenconi; Federico, Biolchini; Emilio, Belluzzi; Giorgio, Sgarbi // Patient Safety in Surgery;2011, Vol. 5 Issue 1, p12 

    A 62-year old man was referred to our institution in hemorrhagic shock after a laparoscopic cholecystectomy for acute cholecystitis, performed at an outside hospital. A chest X-ray revealed a right-sided massive pleural effusion. Urgent surgical exploration was performed through a video-assisted...

  • Diagnosis and treatment of retroperitoneal bronchogenic cysts: A case report. BIAO DONG; HONGLAN ZHOU; JIANJIAN ZHANG; YUANTAO WANG; YAOWEN FU // Oncology Letters;2014, Vol. 7 Issue 6, p2157 

    Bronchogenic cysts are uncommon, predominantly benign, congenital malformations arising from the primitive foregut. The occurrence of such cysts in the retroperitoneum is extremely rare. The present study presents the case of a 30-year-old female who presented with a left adrenal mass. Imaging...

  • Outcome of Lymphatic- and Artery-Sparing Surgery for Pediatric Varicocoele. Healey, Costa; Lisle, Rebecca; Mahomed, Anies // Journal of Laparoendoscopic & Advanced Surgical Techniques;May2010, Vol. 20 Issue 4, p387 

    Background: In recent years, laparoscopic equipment, and experience with its use, has improved. We are now able to appreciate microanatomy, and dissection of individual lymphatic channels is possible. Previously, the results of laparoscopic lymphatic-sparing procedures has been reported. In this...

  • Laparoscopic trans- and retroperitoneal adrenal surgery for large tumors. Agha, Ayman; Iesalnieks, Igors; Hornung, Matthias; Phillip, Wiggermann; Schreyer, Andreas; Jung, Michael; Schlitt, Hans J. // Journal of Minimal Access Surgery;Apr-Jun2014, Vol. 10 Issue 2, p57 

    BACKGROUND: Laparoscopic adrenalectomy for tumors larger than 6 cm is currently a matter of controversial discussion because of difficult mobilization from surrounding organs and a possible risk of capsule rupture. MATERIALS AND METHODS: Data of consecutive patients undergoing laparoscopic...

  • Laparoendoscopic single site (LESS) adrenalectomy: Technique and outcomes. Rane, Abhay; Cindolo, Luca; Schips, Luigi; Sio, Marco; Autorino, Riccardo // World Journal of Urology;Oct2012, Vol. 30 Issue 5, p597 

    Purpose: To describe the surgical technique, to analyze outcomes and to provide an overview of the current status of laparoendoscopic single site (LESS) adrenalectomy. Methods: A comprehensive PubMed search was performed for all relevant urological literature regarding LESS and adrenal surgery....

  • Laparoscopic fenestration of liver cysts in polycystic liver disease results in a median volume reduction of 12.5%. Van Keimpema, Loes; Ruurda, Jelle P.; Ernst, Miranda F.; Van Geffen, Hendrikus J. A. A.; Drenth, Joost P. H. // Journal of Gastrointestinal Surgery;Mar2008, Vol. 12 Issue 3, p477 

    Introduction: Patients with polycystic liver disease (PCLD) may develop symptoms due to increased liver volume. Laparoscopic fenestration is one of the options to reduce liver volume and to relieve symptoms. This study was performed to evaluate the safety and efficacy of...

  • Laparoscopic management of ovarian dermoid cysts. A series of 83 cases. Berg, C.; Berndorff, U.; Diedrich, K.; Malik, E. // Archives of Gynecology & Obstetrics;Jul2002, Vol. 266 Issue 3, p126 

    We did a retrospective survey of 83 patients who had laparoscopic removal of a benign dermoid cyst in our hospital since 1994. Preoperative transvaginal sonography led to the correct diagnosis in 57 cases (69%). In 59 cases cystectomy with ovarian conservation was performed; spillage of cyst...

  • Laparoscopic excision of choledochal cysts in children: an intermediate-term report. Kim Hung Lee; Tam, Y. H.; Yeung, C. K.; Chan, K. W.; Sihoe, J. D. Y.; Cheung, S. T.; Mou, J. W. C.; Lee, Kim Hung // Pediatric Surgery International;Apr2009, Vol. 25 Issue 4, p355 

    Purpose: To assess the intermediate-term result of the use of the minimally invasive technique in the treatment of choledochal cysts in children.Methods: This is a retrospective review of all cases of choledochal cyst treated in the tertiary referral centre. The...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics