Retroperitoneoscopic and laparoscopic removal of periadrenally located bronchogenic cysts – a systematic review
Journal Title: Polish Journal of Surgery - Year 2013, Vol 85, Issue 12
Abstract
Retroperitoneal bronchogenic cysts (BC) are rare clinical entities and may mimic an adrenal mass. Laparoscopic and retroperitoneoscopic approach is widely-used in adrenal surgery. However minimally-invasive resection of a periadrenally located BC has been reported rarely. Material and methods. A systematic review of PubMed has been performed using the following search strategy: bronchogenic cyst AND (adrenal OR retroperitoneal OR subdiaphragmatic). 18 BC being removed via minimally invasive approach have been found. Including our own case 7 were removed retroperitoneoscopically and 12 laparoscopically. Results. An index case of a 50 year old male is presented. CT revealed 2 masses above the left adrenal area. A control demonstrated an increase in size. Retroperitoneoscopic resection was performed. Pathologic finding showed a multilocular cystic lesion with a diameter of 4cm. The cysts were lined by pseudostratified ciliated epithelium. The wall contained hyaline cartilage, seromucous glands and smooth muscle. Conclusions. Because exact preoperative diagnosis of hormonally inactive adrenal masses is not possible surgical resection is recommended in case of tumor growth, symptoms and to obtain definitive histological diagnosis. Minimal invasive approach seems to be a safe way for resection of BC in experienced hands. There is no clear evidence if laparoscopic or retroperitoneoscopic approach is favourable.
Authors and Affiliations
Olof Jannasch, Philip Büschel, Christin Wodner, Max Seidensticker, Roger Kuhn, Hans Lippert, Paweł Mroczkowski
Keywords
Related Articles
- EP ID EP74527
- DOI 10.2478/pjs-2013-0108
- Views 148
- Downloads 0
Charakterystyka i wyniki leczenia chorych z rakiem jelita grubego leczonych operacyjnie w wieku starczym i sędziwym
Rak jelita grubego (RJG) jest w Polsce nowotworem o najwyższej dynamice wzrostu zachorowań. Epidemiologicznie jego występowanie związane jest z wiekiem. Analizie poddano 353 chorych operowanych z powodu RJG w wieku starc...
Diagnostic Imaging Efficacy In Metastases From Unknown Primary Site – Own Material
Cancer of Unknown Primary Origin (CUPO) is defined by the presence of metastatic lesions, diagnosed by means of cytological or pathological evaluation, for which no primary site can be detected during a thorough examinat...
Impact of APEX Ile64val Gene Polymorphisms of DNA Repair Ber System on Modulation of the Risk of Colorectal Cancer in the Polish Population
Colorectal cancer (CRC) is one of the deadliest cancers which lie in the incidence of morbidity in second place. Intensive research is to determine and confirm the genetic basis of this disease, which is believed may hav...
Why Women Who Have Mastectomy Decide Not to Have Breast Reconstruction?
Breast cancer is the most common malignancy occurring in women. The treatment of breast cancer is a complex, multistep process involving surgical treatment, chemotherapy, radiotherapy, hormone therapy, targeted therapy,...
Practical Approach to Inguinal Hernia Treatment -Guidelines of the Association of Polish Surgeons