Laparoscopic partial cystectomy for 12 cases of bladder paraganglioma
Zhu Qingguo1 , Zhu Wei1, Hu Minxiong1, Ma Xin2, Ye Liefu1
1.Department of Urology, Fujian Provincial Hospital, Fujian Provincial Clinical College of Fujian Medical University, Fuzhou 350001, China; 2.Department of Urology, Chinese PLA General Hospital
Abstract：Objective: To evaluate the clinical efficacy of laparoscopic surgery in the treatment of bladder paraganglioma. Methods: From October 2005 to October 2015, the clinical data and treatments of 12 patients with bladder paraganglioma were retrospectively reviewed. Results: All patients underwent laparoscopic resection smoothly without requiring a conversion to a traditional open procedure. The operative time was (117±22) min and intraoperative blood loss was (108±15) mL. No patient displayed perioperative complications and all patients recovered smoothly. The tumor was bladder paraganglioma confirmed pathologically. During a follow-up period of 36 months, the symptom of the patients disappeared and the blood pressure was normal. No recurrence occurred. Conclusions: Laparoscopic partial cystectomy with advantage of mini-invasion, fewer complications and rapid recovery may become an alternative surgical method for patients with bladder paraganglioma.
[1]Onishi T, Sakata Y, Yonemura S, et al. Pheochromocytoma of the urinary bladder without typical symptoms. Int J Urol, 2003,10(7):398-400. [2]Sheps SG, Jiang NS, Klee GG, et al. Recent developments in the diagnosis and treatment of pheochromocytoma. Mayo Clin Proc, 1990,65(1):88-95. [3]Zimmerman IJ, Biron RE, MaeMahon HE. Pheochromocytoma of the urinary bladder. N Engl J Med,1953,249(1):25-26. [4]Beilan JA, Lawton A, Hajdenberg J, et al. Pheochromocytoma of the urinary bladder: a systematic review of the contemporary literature. BMC Urol, 2013,13:22. [5]Lenders JW, Eisenhofer G, Mannelli M, et al. Phaeochromocytoma. Lancet,2005,366(9486):665-675. [6]Walsh PC, Petik AB, Vanghan ED. Capbell's Urology. 7th Ed. Philadelphia: WB Sannder Company, 1998. [7]张晶,王海屹,赵红,等.膀胱嗜铬细胞瘤的CT诊断.中国医学影像学杂志,2010,18(3):256-259. [8]Wang H, Ye H, Guo A, et al. Bladder paraganglioma in adults: MR appearance in four patients. Eur J Radiol, 2011,80(3):e217-220. [9]Pahwa HS, Kumar A, Srivastava R, et al. Urinary bladder paraganglioma: a case series with proposed treating algorithm based on our experience and review of literature. Indian J Surg Oncol, 2013,4(3):294-297. [10]杜林栋,王文营.嗜铬细胞瘤的诊断和治疗.临床泌尿外科杂志,2008,23(5):325-328. [11]陶静,华佳,薄隽杰,等.膀胱子宫内膜异位症DWI 表现1 例.中国医学影像技术,2011,27(12):2549. [12]Naqiyah I, Rohaizak M, Meah FA, et al. Phaeochromocytoma of the urinary bladder. Singapore Med J, 2005,46(7):344-346. [13]Kozlowski PM, Mihm F, Winfield HN, et al. Laparoscopic management of bladder pheochromocytoma. Urology, 2001,57(2):365. [14]Lei Y, Tong S, Zu X, et al. Extraperitoneal and transperitoneal laparoscopic partial cystectomy for benign non-urothelial bladder tumors: an initial experience. Urol Int, 2015,94(2):149-155.
