V11-05: Laparoendoscopic single-site partial cystectomy combined with cystoscopy for bladder paraganglioma.
VideoIntroductions and Objectives
We present a case report of our initial experience with laparoendoscopic single-site surgery (LESS) combined with cystoscopy for primary bladder paraganglioma.
A 41 years old woman consulted for headache and palpitation after micturition for 10 years. Ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), and cystoscopy revealed a solitary 2cm mass lesion in the top of the bladder (Fig.1,2). High levels of noradrenaline were found both in plasma and urine. 123I-MIBG scintigraphy showed an abnormal accumulation in the bladder. Thus, paraganglioma of the bladder was diagnosed. A LESS partial cystectomy combined with cystoscopy was performed. OCTOport ?›R was inserted through 2cm skin incision through the umbilicus, and one 2-mm port was added (Fig.3?j. Cystoscopic guidance was helpful to determine the excision line of the tumor during laparoscopic surgery?@?iFig.4?j.
She has been free from symptom after operation. Histological examination of the resected specimen showed a paraganglioma.
LESS partial cystectomy combined with cystoscopy for bladder paraganglioma can easily identify the margins of tumor and is safe technique.