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 128
- Downloads 0
Stres oksydacyjny w zmianach rozrostowych przytarczyc
Wstęp: Pierwotna nadczynność przytarczyc (PHPT) stanowi jedno z najczęstszych zaburzeń endokrynologicznych, które definiuje się jako nadmierne wydzielanie parathormonu. PHPT jest czynnikiem ryzyka wielu chorób sercowo-na...
Comparison of haemodynamic effects of noninvasive ventilation delivered via ResQGARD and CPAP boussignac masks
Noninvasive ventilation (NIV) is a technique of mechanical ventilation which does not require invasive airway management, i.e. intubation or tracheostomy. In emergency medicine Continuous Positive Airway Pressure (CPAP)...
Rekomendowane standardy wyposażenia ośrodka leczniczego w zakresie chirurgii bariatrycznej i metabolicznej – doświadczenia własne
Wstęp. Częstość występowania otyłości w kraju i na świecie przybiera obecnie skalę epidemii. Jedyną powszechnie znaną, udowodnioną pod względem skuteczności metodą leczenia otyłości olbrzymiej jest chirurgia bariatryczna...
Splenic tuberculosis: a comprehensive review of literature
Tuberculosis(TB) is one of the most common infections affecting the population in the developing countries. With the rising human immunodeficiency(HIV) infection its incidence is on a rise even in the developed countries...
The Impact of the Types of Microorganisms Isolated from Blood and Wounds on the Results of Treatment in Burn Patients with Sepsis