Minimal-invasive Chirurgie retroperitonealer Paragangliome

Synopsis eigener Erfahrungen

Minimally invasive surgery of retroperitoneal paragangliomas

Synopsis of personal experiences

Zusammenfassung

Retroperitoneale Paragangliome sind seltene Tumoren mit den Eigenschaften adrenaler Phäochromozytome. Sie kommen entweder sporadisch oder im Zusammenhang hereditärer Syndrome vor. Ihre Diagnostik umfasst endokrinologische Methoden und bildgebende Verfahren. Primäre Therapieoption ist die Operation, wobei aus unserer Sicht die minimal-invasiven Methoden als die Verfahren der ersten Wahl gelten. Dabei sollten infrarenale Paragangliome transperitoneal laparoskopisch entfernt werden und suprarenale Tumoren retroperitoneoskopisch angegangen werden.

Abstract

Retroperitoneal paragangliomas are rare tumors with the characteristics of adrenal pheochromocytomas. They may occur sporadically or in conjunction with hereditary syndromes. Diagnostic methods in paragangliomas include testing of catecholamine secretion and imaging procedures. The first choice treatment is surgical removal, which in the author’s opinion is preferably by minimally invasive approaches. Infrarenal paragangliomas should be excised using a laparoscopic transabdominal procedure. For suprarenal tumors the retroperitoneoscopic approach should be used.

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Correspondence to Prof. Dr. Dr. M. K. Walz.

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M.K. Walz gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Walz, M.K. Minimal-invasive Chirurgie retroperitonealer Paragangliome. Chirurg 90, 23–28 (2019). https://doi.org/10.1007/s00104-018-0752-9

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Schlüsselwörter

  • Stresshormone
  • Operative Therapie
  • Nachbehandlung
  • Laparoskopie
  • Retroperitoneoskopie

Keywords

  • Stress hormones
  • Surgical treatment
  • Follow-up treatment
  • Laparoscopy
  • Retroperitonoscopy