经验报道和文献综述：腹腔镜切除肝下腔静脉后段副神经节瘤一例。
Laparoscopic resection of a paraganglioma behind the retrohepatic segment of the inferior vena cava: a case report and literature review.
发表日期：2023
作者：
Wenda Wang, Jianhua Deng, Hanzhong Li, Zhigang Ji, Jin Wen
来源：
Frontiers in Endocrinology
摘要：
由于副交感神经节瘤（PGLs）位于下腔静脉（IVC）后肝段后方，因此很难暴露和切除肿瘤。在一名51岁的女性高血压和糖尿病患者中发现了一颗尺寸为50×45×62厘米的肿瘤，位于IVC后肝部分后方。尽管儿茶酚胺检测结果未显示疾病迹象，但增强计算机断层扫描（CT）、生长抑素受体显像和碘-131标记的间碘苯甲基胍（131I-MIBG）显像揭示肿瘤为PGL。进行了三维打印以可视化肿瘤。采用腹腔镜手术切除了位于IVC后肝段后方的PGL，完全切除肿瘤且未造成任何组织损伤。病理诊断为PGL，患者康复良好。该病例证明腹腔镜手术可能有助于肿瘤达到并可在适当情况下用于切除位于IVC后肝段后方的PGL。2023年，版权所有：王、邓、李、吉和温。
Due to the location of paragangliomas (PGLs) behind the retrohepatic segment of inferior vena cava (IVC), it is difficult to expose and resect the tumor.A tumor measuring 50×45×62cm behind the retrohepatic portion of IVC was found in a 51-year-old female with hypertention and diabetes mellitus. Although the test for catecholamines revealed no signs of disease, the enhanced computed tomography (CT) scan, somatostatin receptor imaging and iodine-131-labeled metaiiodo-benzylguanidine (131I-MIBG) imaging revealed that the tumor was PGL. A three-dimensional printing was performed to visualize the tumor. The laparoscpic surgery for the PGL behind the retrohepatic segment of IVC was performed and the tumor was resected completely without causing any tissues injury. The pathologic diagnosis was PGL and the patient was able to recover well.This case demonstrates that laparoscopic surgery may be helpful in tumor accessibility, and could be used in the appropriate cases to remove PGLs that are located behind the retrohepatic segment of the IVC.Copyright © 2023 Wang, Deng, Li, Ji and Wen.