World Journal of Laparoscopic Surgery

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VOLUME 2 , ISSUE 2 ( May-August, 2009 ) > List of Articles

RESEARCH ARTICLE

Laparoscopic Management of Retroperitoneal Masses: Our Experience and Literature Review

Matvey Tsivian, A Ami Sidi, Alexander Tsivian

Citation Information : Tsivian M, Sidi AA, Tsivian A. Laparoscopic Management of Retroperitoneal Masses: Our Experience and Literature Review. World J Lap Surg 2009; 2 (2):1-5.

DOI: 10.5005/jp-journals-10007-1015

Published Online: 01-08-2011

Copyright Statement:  Copyright © 2009; The Author(s).


Abstract

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, est

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.


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  1. [Laparoscopic extirpation of retroperitoneal bronchogenic cyst]. Magy Seb Feb 2006;59(1):37-41.
  2. Laparoscopic excision of a retroperitoneal cystic lymphangioma: An insidious case. J Laparoendosc Adv Surg Tech A Jun 2007;17(3):315-16.
  3. Total laparoscopic resection of primary large retroperitoneal teratoma resembling an ovarian tumor in an adult. J Minim Invasive Gynecol May-Jun 2008;15(3):384-86.
  4. Perirenal venous aneurysm presenting as retroperitoneal tumor treated successfully by laparoscopic excision. J Endourol Nov 2007;21(11):1329-31.
  5. Case report: Laparoscopic removal of 10 cm retroperitoneal liposarcoma. J Endourol Jan 2007;21(1):83-84.
  6. Laparoscopic resection of a retroperitoneal schwannoma. Surg Endosc Mar 2003;17(3):520.
  7. Laparoscopic resection of a retroperitoneal schwannoma behind the lesser omental sac. Surg Laparosc Endosc Percutan Tech Jun 2004;14(3):175-77.
  8. A retroperitoneal bronchogenic cyst: Laparoscopic treatment. Urol Int 2004;72(3):269-70.
  9. Laparoscopic-assisted resection of a large retroperitoneal tumor. JSLS Jul-Sep 2004;8(3):287-89.
  10. Laparoscopic resection of a pelvic schwannoma. Surg Laparosc Endosc Dec1996;6(6):489-91.
  11. A case of retroperitoneal bronchogenic cyst treated by laparoscopic surgery. Hinyokika Kiyo Mar 2007;53(3):171-74.
  12. Laparoscopic resection of a juxta-adrenal schwannoma. Can J Urol Jun 2004;11(3):2309-11.
  13. Laparoscopic resection of a retroperitoneal schwannoma. Surg Laparosc Endosc Percutan Tech Aug 1999;9(4):306-09.
  14. Laparoscopic treatment of retroperitoneal benign schwannoma. Int J Urol Feb 1999;6(2):100-03.
  15. Laparoscopic resection of a retroperitoneal cystic lymphangioma. Surg Endosc Dec 1994;8(12):1425-26.
  16. Laparoscopic excision of a retroperitoneal cystic lymphangioma in an elderly patient. Minerva Chir Apr 2007;62(2):145-47.
  17. Laparoscopic excision of a retroperitoneal cystic lymphangioma: Report of a case. Surg Today 2003;33(2):142-44.
  18. Gasless laparoscopic removal of retroperitoneal leiomyosarcoma. J Laparoendosc Surg Feb 1995;5(1):47-54.
  19. Laparoscopic excision of retroperitoneal tumors: Technique and review of the laparoscopic experience. Surg Laparosc Endosc Percutan Tech Apr 2001;11(2):144-47.
  20. [Laparoscopic resection of retroperitoneal tumors: Report of two cases]. Hinyokika Kiyo Oct 1999;45(10):691-94.
  21. Laparoscopic exploration in the management of retroperitoneal masses. JSLS Jul-Sep 1999;3(3):209-14.
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