J Minim Invasive Surg.  2016 Sep;19(3):108-112. 10.7602/jmis.2016.19.3.108.

Laparoscopic Excision of a Retroperitoneal Solitary Fibrous Tumor: A Case Report

Affiliations
  • 1Yonsei University College of Medicine, Seoul, Korea.
  • 2Korea Medical Institute, Seoul, Korea.
  • 3Department of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. cmkang@yuhs.ac
  • 4Pancreatobiliary Cancer Clinic, Yonsei Cancer Center, Severance Hospital, Seoul, Korea.

Abstract

Solitary fibrous tumors (SFTs) are rare mesenchymal tumors mainly originating in the pleura. Since complete resection is the most important prognostic factor, typical surgical approach has been open laparotomy. In this report, we present a unusual case of large retropancreatic SFT that was successfully treated via laparoscopic resection. A 22-year-old female was diagnosed with a 8×7 cm-sized well-demarcated mass with multiple loculating and enhancing solid portions on the left adrenal fossa. The mass showed no definite invasion of adjacent organs and laparoscopic resection was planned. Using blunt dissection and individual vessel ligation, the operation was successful. The operative time was 220 minutes, and the amount of intraoperative blood loss was estimated to be within 100 ml. The patient recovered without complications. Laparoscopic excision of large retroperitoneal SFTs can be safe and feasible if there is no evidence of local invasion or malignancy on preoperative radiologic images.

Keyword

Minimally invasive surgical procedures; Solitary fibrous tumors; Retroperitoneal neoplasms

MeSH Terms

Female
Humans
Laparotomy
Ligation
Minimally Invasive Surgical Procedures
Operative Time
Pleura
Retroperitoneal Neoplasms
Solitary Fibrous Tumors*
Young Adult
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