A clinical analysis of retroperitoneal laparoscopic surgical treatment for 15 cases of adrenal ganglioneuroma
Wang Desheng
Yin Lei
Cui Xingang
Xu Danfeng
Abstract：Objective: To analyze the clinical characteristics of 15 cases of adrenal ganglioneuroma and to evaluate the safety and outcome of retroperitoneal laparoscopic treatment.Methods: From March 2006 to March 2016, 15 patients with adrenal ganglioneuroma underwent retroperitoneal laparoscopic surgical treatment in Shanghai Changzheng Hospital.A three-trocar retroperitoneal approach was used.There were 12 males and 3 females with mean age of 39 years old.Six tumors were located in the right side, and 9 tumors in the left.The maximum diameter of tumor was 2.5 cm to 11.0 cm (mean 5.8±2.3 cm).Results: Fifteen cases of retroperitoneal laparoscopic surgical operations were performed successfully, and there were no conversions to open surgery.Mean operation time was (104.6±40.6) min, mean intraoperative blood loss was (45.3±20.4) mL, mean time of postoperative bowel function recovery was (1.5±0.4) days, and mean postoperative hospital stay was (7.2±0.5) days.No perioperative complications occurred.All cases of postoperative pathological diagnoses were adrenal ganglioneuroma.During a follow-up period of 1 month to 96 months, no tumor recurrence or distant metastasis was found.Conclusions: Adrenal ganglioneuroma is a rare disease with specific imaging features.For <6 cm tumor, retroperitoneal laparoscopic resection is a safe and effective treatment.For >6 cm tumor, more surgical experience and operative skills are needed.
Keywords：ganglioneuromaadrenalretroperitoneal laparoscopytreatment
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 321-324 )