Sunose Yutaka, Hirai Keitaro, Nakazawa Seshiru, Yoshinari Daisuke, Ogawa Hiroomi, Tsukagoshi Hiroshi, Takahashi Norifumi, Yamazaki Hodaka, Motegi Yoko, Miyamae Yohei, Igarashi Takamichi, Takahashi Kengo, Katoh Ryuji, Tanaka Kazumi, Takeyoshi Izumi
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine, Maebashi, Japan.
Asian J Endosc Surg. 2015 May;8(2):201-4. doi: 10.1111/ases.12168.
We treated a 64-year-old woman with high blood pressure. Catecholamine metabolite levels were elevated in the blood and urine. CT revealed a densely stained tumor on the right side of the descending aorta dorsal to the inferior vena cava. PET-CT revealed abnormal accumulation of (18) F-fluorodeoxyglucose, and (123) I-meta-iodo-benzylguanidine uptake was apparent on scintigraphy. The tumor was determined to be a paraganglioma located on the border between the thoracic and abdominal cavities, and laparoscopic tumorectomy was performed. The patient was placed in the left lateral position. The right lobe of the liver was turned over, and we cut the diaphragm to expose the front of the tumor. We resected the straight artery flowing in from the aorta and removed the tumor safely. Herein, we describe the removal of a paravertebral paraganglioma located in the border of the thoracic and abdominal cavities with a laparoscopic transabdominal-transdiaphragmatic approach.
我们治疗了一名64岁的高血压女性。血液和尿液中的儿茶酚胺代谢物水平升高。CT显示在腔静脉后方降主动脉右侧有一个高密度染色的肿瘤。PET-CT显示（18）F-氟脱氧葡萄糖异常聚集，并且在闪烁扫描中（123）I-间碘苄胍摄取明显。该肿瘤被确定为位于胸腔和腹腔交界处的副神经节瘤，并进行了腹腔镜肿瘤切除术。患者取左侧卧位。将肝脏右叶翻转，切开膈肌以暴露肿瘤前方。我们切除了从主动脉流入的直动脉，并安全地切除了肿瘤。在此，我们描述了一种通过腹腔镜经腹-经膈方法切除位于胸腔和腹腔交界处的椎旁副神经节瘤的过程。
