Retroperitoneoscopic and laparoscopic removal of periadrenally located bronchogenic cysts – a systematic review

• Authors: Olof Jannasch , Philip Büschel , Christin Wodner , Max Seidensticker , Roger Kuhn , Hans Lippert , Paweł Mroczkowski
• Languages of publication: EN

Abstracts

EN

Retroperitoneal bronchogenic cysts (BC) are rare clinical entities and may mimic an adrenal mass. Laparoscopic and retroperitoneoscopic approach is widely-used in adrenal surgery. However minimally- invasive resection of a periadrenally located BC has been reported rarely. Material and methods. A systematic review of PubMed has been performed using the following search strategy: bronchogenic cyst AND (adrenal OR retroperitoneal OR subdiaphragmatic). 18 BC being removed via minimally invasive approach have been found. Including our own case 7 were removed retroperitoneoscopically and 12 laparoscopically. Results. An index case of a 50 year old male is presented. CT revealed 2 masses above the left adrenal area. A control demonstrated an increase in size. Retroperitoneoscopic resection was performed. Pathologic finding showed a multilocular cystic lesion with a diameter of 4cm. The cysts were lined by pseudostratified ciliated epithelium. The wall contained hyaline cartilage, seromucous glands and smooth muscle. Conclusions. Because exact preoperative diagnosis of hormonally inactive adrenal masses is not possible surgical resection is recommended in case of tumor growth, symptoms and to obtain definitive histological diagnosis. Minimal invasive approach seems to be a safe way for resection of BC in experienced hands. There is no clear evidence if laparoscopic or retroperitoneoscopic approach is favourable

Keywords

EN

bronchogenic cyst; adrenal tumor; retroperitoneoscopy; laparoscopy; systematic review

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2013
• Volume: 85
• Issue: 12
• Pages: 706-713

Dates

published

1 - 12 - 2013

online

25 - 01 - 2014

Contributors

author

Olof Jannasch

• Department of General, Abdominal and Vascular Surgery, University Hospital in Magdeburg, Germany

author

Philip Büschel

• Department of General, Abdominal and Vascular Surgery, University Hospital in Magdeburg, Germany

author

Christin Wodner

• Institute of Pathology, University Hospital in Magdeburg, Germany

author

Max Seidensticker

• Department of Radiology and Nuclear Medicine, University Hospital in Magdeburg, Germany

author

Roger Kuhn

• Department of General, Visceral and Minimal-invasive Surgery, Hospital Gifhorn, Germany

author

Hans Lippert

• Department of General, Abdominal and Vascular Surgery, University Hospital in Magdeburg, Germany

author

Paweł Mroczkowski

• Department of General, Abdominal and Vascular Surgery, University Hospital in Magdeburg, Germany

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Identifiers

DOI

10.2478/pjs-2013-0108