Endocrine Surgery Section, University Hospital Dr Josep Trueta, Avda. França s/n. 17007, Girona, Spain.
Obes Surg. 2010 Sep;20(9):1319-22. doi: 10.1007/s11695-008-9778-2. Epub 2009 Mar 3.
Obesity, the most significant metabolic problem in the world today, is associated with a wide range of diseases, including endocrine disorders. Paraganglioma is a rare chromaffin cell tumor that develops from the neural crest cells of the neuroendocrine system. Retroperitoneal paragangliomas can represent a surgical challenge due to their close relation to large vessels. We report two cases of functioning retroperitoneal paraganglioma in type-I obese patients (case 1: female; weight, 77 kg; body mass index, 30.1 kg/m(2); case 2: male; weight, 92 kg; body mass index, 31.1 kg/m(2)) who underwent elective endocrine surgery. The tumors (one interaortocaval and the other above the iliac artery) were completely excised by laparotomy without postoperative complications.
肥胖症是当今世界上最严重的代谢问题，与多种疾病有关，包括内分泌紊乱。副神经节瘤是一种罕见的嗜铬细胞瘤，起源于神经内分泌系统的神经嵴细胞。腹膜后副神经节瘤由于与大血管关系密切，可能成为手术挑战。我们报告了两例 I 型肥胖患者（病例 1：女性；体重 77 公斤；体重指数 30.1 kg/m(2)；病例 2：男性；体重 92 公斤；体重指数 31.1 kg/m(2)）发生功能性腹膜后副神经节瘤的病例，这些患者均接受了择期内分泌手术。肿瘤（一个位于腹主动脉和下腔静脉之间，另一个位于髂动脉上方）通过剖腹手术完全切除，术后无并发症。
