Surgical resection of giant pheochromocytomas arising behind the retrohepatic inferior vena cava

Yuji Soejima, Tomoharu Yoshizumi, Toru Ikegami, Norifumi Harimoto, Shinji Ito, Noboru Harada, Takashi Motomura, Akihisa Nagatsu, Tetsuo Ikeda, Yoshihiko Maehara

Research output: Contribution to journalArticle

Abstract

Background: Surgical resection of retrocaval giant pheochromocytomas (PCs) and of extra-adrenal paragangliomas (EAPs) is a technically challenging procedure but data on these procedures are scarce. The purpose of this study was to present and evaluate our surgical results for such tumors. Patients and Methods: We retrospectively analyzed four consecutive patients who had surgery for giant retro-caval PCs and EAPs in terms of surgical technique, resectability of the tumor, requirement for bypass, and postoperative complications. A laparoscopic approach was not feasible in all cases because of the undesirable location of the tumors. Results: In all cases, the liver was completely mobilized from the right side to expose and control the supra- and infra-hepatic inferior vena cava. Resection of the tumors was feasible for all patients with a minimum titration of blood pressure during surgery. None of the cases required venous bypass. In the patient who had the largest tumor, the infra-hepatic inferior vena cava was transected temporally to obtain direct and maximum exposure of the tumor. None of the patients have had any postoperative complications and all are currently alive without recurrence and use of antihypertensive drugs. Conclusion: Resection of retrocaval giant PCs and EAPs is a safe procedure. Temporal transection of the infra-hepatic inferior vena cava can offer excellent exposure, especially for an extremely large tumor, without compromising hepatic and systemic hemodynamics.

Original languageEnglish
Pages (from-to)277-280
Number of pages4
JournalAnticancer research
Volume37
Issue number1
DOIs
Publication statusPublished - Jan 2017

Fingerprint

Inferior Vena Cava
Pheochromocytoma
Extra-Adrenal Paraganglioma
Liver
Neoplasms
Venae Cavae
Antihypertensive Agents
Hemodynamics
Blood Pressure
Recurrence

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

Cite this

Surgical resection of giant pheochromocytomas arising behind the retrohepatic inferior vena cava. / Soejima, Yuji; Yoshizumi, Tomoharu; Ikegami, Toru; Harimoto, Norifumi; Ito, Shinji; Harada, Noboru; Motomura, Takashi; Nagatsu, Akihisa; Ikeda, Tetsuo; Maehara, Yoshihiko.

In: Anticancer research, Vol. 37, No. 1, 01.2017, p. 277-280.

Research output: Contribution to journalArticle

Soejima, Yuji ; Yoshizumi, Tomoharu ; Ikegami, Toru ; Harimoto, Norifumi ; Ito, Shinji ; Harada, Noboru ; Motomura, Takashi ; Nagatsu, Akihisa ; Ikeda, Tetsuo ; Maehara, Yoshihiko. / Surgical resection of giant pheochromocytomas arising behind the retrohepatic inferior vena cava. In: Anticancer research. 2017 ; Vol. 37, No. 1. pp. 277-280.
@article{d933755bc7d94b7db411ef4111b05d11,
title = "Surgical resection of giant pheochromocytomas arising behind the retrohepatic inferior vena cava",
abstract = "Background: Surgical resection of retrocaval giant pheochromocytomas (PCs) and of extra-adrenal paragangliomas (EAPs) is a technically challenging procedure but data on these procedures are scarce. The purpose of this study was to present and evaluate our surgical results for such tumors. Patients and Methods: We retrospectively analyzed four consecutive patients who had surgery for giant retro-caval PCs and EAPs in terms of surgical technique, resectability of the tumor, requirement for bypass, and postoperative complications. A laparoscopic approach was not feasible in all cases because of the undesirable location of the tumors. Results: In all cases, the liver was completely mobilized from the right side to expose and control the supra- and infra-hepatic inferior vena cava. Resection of the tumors was feasible for all patients with a minimum titration of blood pressure during surgery. None of the cases required venous bypass. In the patient who had the largest tumor, the infra-hepatic inferior vena cava was transected temporally to obtain direct and maximum exposure of the tumor. None of the patients have had any postoperative complications and all are currently alive without recurrence and use of antihypertensive drugs. Conclusion: Resection of retrocaval giant PCs and EAPs is a safe procedure. Temporal transection of the infra-hepatic inferior vena cava can offer excellent exposure, especially for an extremely large tumor, without compromising hepatic and systemic hemodynamics.",
author = "Yuji Soejima and Tomoharu Yoshizumi and Toru Ikegami and Norifumi Harimoto and Shinji Ito and Noboru Harada and Takashi Motomura and Akihisa Nagatsu and Tetsuo Ikeda and Yoshihiko Maehara",
year = "2017",
month = "1",
doi = "10.21873/anticanres.11318",
language = "English",
volume = "37",
pages = "277--280",
journal = "Anticancer Research",
issn = "0250-7005",
publisher = "International Institute of Anticancer Research",
number = "1",

}

TY - JOUR

T1 - Surgical resection of giant pheochromocytomas arising behind the retrohepatic inferior vena cava

AU - Soejima, Yuji

AU - Yoshizumi, Tomoharu

AU - Ikegami, Toru

AU - Harimoto, Norifumi

AU - Ito, Shinji

AU - Harada, Noboru

AU - Motomura, Takashi

AU - Nagatsu, Akihisa

AU - Ikeda, Tetsuo

AU - Maehara, Yoshihiko

PY - 2017/1

Y1 - 2017/1

N2 - Background: Surgical resection of retrocaval giant pheochromocytomas (PCs) and of extra-adrenal paragangliomas (EAPs) is a technically challenging procedure but data on these procedures are scarce. The purpose of this study was to present and evaluate our surgical results for such tumors. Patients and Methods: We retrospectively analyzed four consecutive patients who had surgery for giant retro-caval PCs and EAPs in terms of surgical technique, resectability of the tumor, requirement for bypass, and postoperative complications. A laparoscopic approach was not feasible in all cases because of the undesirable location of the tumors. Results: In all cases, the liver was completely mobilized from the right side to expose and control the supra- and infra-hepatic inferior vena cava. Resection of the tumors was feasible for all patients with a minimum titration of blood pressure during surgery. None of the cases required venous bypass. In the patient who had the largest tumor, the infra-hepatic inferior vena cava was transected temporally to obtain direct and maximum exposure of the tumor. None of the patients have had any postoperative complications and all are currently alive without recurrence and use of antihypertensive drugs. Conclusion: Resection of retrocaval giant PCs and EAPs is a safe procedure. Temporal transection of the infra-hepatic inferior vena cava can offer excellent exposure, especially for an extremely large tumor, without compromising hepatic and systemic hemodynamics.

AB - Background: Surgical resection of retrocaval giant pheochromocytomas (PCs) and of extra-adrenal paragangliomas (EAPs) is a technically challenging procedure but data on these procedures are scarce. The purpose of this study was to present and evaluate our surgical results for such tumors. Patients and Methods: We retrospectively analyzed four consecutive patients who had surgery for giant retro-caval PCs and EAPs in terms of surgical technique, resectability of the tumor, requirement for bypass, and postoperative complications. A laparoscopic approach was not feasible in all cases because of the undesirable location of the tumors. Results: In all cases, the liver was completely mobilized from the right side to expose and control the supra- and infra-hepatic inferior vena cava. Resection of the tumors was feasible for all patients with a minimum titration of blood pressure during surgery. None of the cases required venous bypass. In the patient who had the largest tumor, the infra-hepatic inferior vena cava was transected temporally to obtain direct and maximum exposure of the tumor. None of the patients have had any postoperative complications and all are currently alive without recurrence and use of antihypertensive drugs. Conclusion: Resection of retrocaval giant PCs and EAPs is a safe procedure. Temporal transection of the infra-hepatic inferior vena cava can offer excellent exposure, especially for an extremely large tumor, without compromising hepatic and systemic hemodynamics.

UR - http://www.scopus.com/inward/record.url?scp=85007560077&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85007560077&partnerID=8YFLogxK

U2 - 10.21873/anticanres.11318

DO - 10.21873/anticanres.11318

M3 - Article

C2 - 28011503

AN - SCOPUS:85007560077

VL - 37

SP - 277

EP - 280

JO - Anticancer Research

JF - Anticancer Research

SN - 0250-7005

IS - 1

ER -