Laparoscopic removal of a large pheochromocytoma-paraganglioma of the Zuckerkandl organ
https://doi.org/10.14341/serg12698
Abstract
Paragangliomas represent 15 to 20% of all chromaffin tissue tumors. Most often, paragangliomas are located in the abdominal cavity along the large vessels — in the para-aortic region from the diaphragm to the aortic bifurcation. One of the most common extra-adrenal pheochromocytomas is the Zuckerkandl tumor, originating from the para-aortic accumulation of sympathetic tissue located in the area of the inferior mesenteric artery’s origine or in the zone of the aortic bifurcation itself. Due to the technical difficulty in performing laparoscopic removal of paragangliomas, conversion to laparotomy is frequent and reaches 80%. The article describes a clinical case of a patient suffering from this type of neoplasm, with diagnosis details and treatment by a successful radical laparoscopic intervention with a large chromaffinnoma located in a difficult anatomical zone removal.
About the Authors
Dmitriy B. Demin
Orenburg State Medical University
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, Professor Researcher ID: A-5622-2017; Scopus Author ID: 36779716800; eLibrary SPIN: 3461-9642
Competing Interests:
not
Sergey V. Miroshnikov
Orenburg Regional Clinical Hospital № 2
Russian Federation
Competing Interests:
Russian Federation
MD, PhD; eLibrary SPIN: 8588-8707
Competing Interests:
not
References
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6. Melnichenko GA, Troshina EA, Beltsevich DG, et al. Clinical recommendations of the Russian Association of Endocrinologists for the diagnosis and treatment of pheochromocytoma/paraganglioma. Endocrine Surgery. 2015;9(3):15-33. (In Russ.) doi: https://doi.org/10.14341/serg2015315-33
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Supplementary files
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1. Figure 1. Fragments of computed tomography in three projections. | |
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2. Figure 2. General view of the paraganglioma. | |
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3. Figure 3. Dissection of the neoplasm. | |
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4. Figure 4. An isolated neoplasm. | |
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5. Figure 5. The neoplasm is loaded into a container. | |
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6. Figure 6. Gross specimen. | |
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Review
For citations:
Demin D.B., Miroshnikov S.V. Laparoscopic removal of a large pheochromocytoma-paraganglioma of the Zuckerkandl organ. Endocrine Surgery. 2020;14(3):27-31. (In Russ.) https://doi.org/10.14341/serg12698
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