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Comparison of retroperitoneoscopic versus transperitoneoscopic resection of retroperitoneal paraganglioma: a control study of 74 cases at a single institution.

Xu W, Li H, Ji Z, Yan W, Zhang Y, Xiao H, Zhang X, Liu G - Medicine (Baltimore) (2015)

Bottom Line: No significant differences in the baseline data were observed between 2 groups.There were no patient deaths.This study may provide a valuable source of clinical information for clinicians in related fields.

View Article: PubMed Central - PubMed

Affiliation: From the Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.

ABSTRACT
We aimed to compare the safety and patient outcomes of retroperitoneal paraganglioma (PG) following the retroperitoneoscopic and transperitoneoscopic approaches based on large samples.Seventy-four patients with retroperitoneal PG undergoing laparoscopic resection from June 2004 to September 2013 were retrospectively included. The patients were divided into the retroperitoneal (n = 40) and transperitoneal (n = 34) groups. Demographic and perioperative data, including the operation time, estimated blood loss, incidence of intraoperative hypertension, bowel recovery day, postoperative hospital stay, and systemic inflammatory response syndrome (SIRS) were recorded.The retroperitoneal group showed a shorter operation time and earlier postoperative exsufflation time compared with the transperitoneal group (84 ± 28.5 minutes vs 115 ± 35.7 minutes and 1.7 ± 0.6 vs 2.3 ± 0.7 day, respectively; both P < 0.001). No significant differences in the baseline data were observed between 2 groups. All patients, except for 1 case of open conversion, underwent laparoscopic surgery. There were no patient deaths. Data analysis demonstrated no significant difference in the surgical blood loss, incidence of surgical blood pressure elevation, postoperative hospital stay, or incidence of SIRS between 2 groups.The operation time for the retroperitoneoscopic resection of retroperitoneal PG is shorter, and gastrointestinal functions improve more quickly compared to the transperitoneoscopic approach. This study may provide a valuable source of clinical information for clinicians in related fields.

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Related in: MedlinePlus

A. Computed tomography (CT) revealed retroperitoneal paraganglioma in the left side. B. General photograph of paraganglioma.
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Figure 1: A. Computed tomography (CT) revealed retroperitoneal paraganglioma in the left side. B. General photograph of paraganglioma.

Mentions: All tumors, except 1, were successfully removed laparoscopically, including 3 recurrent cases. One patient underwent conversion to open surgery due to a dense adhesion of tumor to the vena cava. No significant differences in intraoperative factors, including the amount of blood loss, percentage of blood transfusion, and blood pressure elevation during the operation, were observed between the retroperitoneal and transperitoneal groups (Table 2). The retroperitoneal approach required significantly less operative time than the transperitoneal approach (84 ± 28.5 vs 115 ± 35.7 min, P < 0.001). The representative figure of PG was shown in the Figure 1.


Comparison of retroperitoneoscopic versus transperitoneoscopic resection of retroperitoneal paraganglioma: a control study of 74 cases at a single institution.

Xu W, Li H, Ji Z, Yan W, Zhang Y, Xiao H, Zhang X, Liu G - Medicine (Baltimore) (2015)

A. Computed tomography (CT) revealed retroperitoneal paraganglioma in the left side. B. General photograph of paraganglioma.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4554166&req=5

Figure 1: A. Computed tomography (CT) revealed retroperitoneal paraganglioma in the left side. B. General photograph of paraganglioma.
Mentions: All tumors, except 1, were successfully removed laparoscopically, including 3 recurrent cases. One patient underwent conversion to open surgery due to a dense adhesion of tumor to the vena cava. No significant differences in intraoperative factors, including the amount of blood loss, percentage of blood transfusion, and blood pressure elevation during the operation, were observed between the retroperitoneal and transperitoneal groups (Table 2). The retroperitoneal approach required significantly less operative time than the transperitoneal approach (84 ± 28.5 vs 115 ± 35.7 min, P < 0.001). The representative figure of PG was shown in the Figure 1.

Bottom Line: No significant differences in the baseline data were observed between 2 groups.There were no patient deaths.This study may provide a valuable source of clinical information for clinicians in related fields.

View Article: PubMed Central - PubMed

Affiliation: From the Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.

ABSTRACT
We aimed to compare the safety and patient outcomes of retroperitoneal paraganglioma (PG) following the retroperitoneoscopic and transperitoneoscopic approaches based on large samples.Seventy-four patients with retroperitoneal PG undergoing laparoscopic resection from June 2004 to September 2013 were retrospectively included. The patients were divided into the retroperitoneal (n = 40) and transperitoneal (n = 34) groups. Demographic and perioperative data, including the operation time, estimated blood loss, incidence of intraoperative hypertension, bowel recovery day, postoperative hospital stay, and systemic inflammatory response syndrome (SIRS) were recorded.The retroperitoneal group showed a shorter operation time and earlier postoperative exsufflation time compared with the transperitoneal group (84 ± 28.5 minutes vs 115 ± 35.7 minutes and 1.7 ± 0.6 vs 2.3 ± 0.7 day, respectively; both P < 0.001). No significant differences in the baseline data were observed between 2 groups. All patients, except for 1 case of open conversion, underwent laparoscopic surgery. There were no patient deaths. Data analysis demonstrated no significant difference in the surgical blood loss, incidence of surgical blood pressure elevation, postoperative hospital stay, or incidence of SIRS between 2 groups.The operation time for the retroperitoneoscopic resection of retroperitoneal PG is shorter, and gastrointestinal functions improve more quickly compared to the transperitoneoscopic approach. This study may provide a valuable source of clinical information for clinicians in related fields.

Show MeSH
Related in: MedlinePlus