Jonathan M Stem, MD, Guillaume S Chevrollier, MD, Michael J Pucci, MD, Caitlyn M Costanzo, MD, Francesco Palazzo, MD. Thomas Jefferson University Hospital
Introduction: Lymphangiomas are rare cystic mesodermal tumors derived from lymphatic vessels that may present in various areas of the body. Retroperitoneal lymphangiomas are extremely rare, accounting for only 1% of these lesions with less than 200 cases reported to date. We sought to describe the robotic excision of a retroperitoneal lymphangioma as a safe and effective means for primary excision.
We present the case of a 50yo woman with an incidentally found retroperitoneal mass on a CT scan of the abdomen and pelvis performed for hematuria and flank pain. Further questioning revealed epigastric pain and early satiety existing for one month. An MRI/MRCP was performed confirming findings of the retroperitoneal mass and revealing no evidence of continuity with the duodenum, pancreas, kidney or biliary systems.
Methods and procedures: After careful consultation with the patient, in consideration of the presenting symptoms, and benign imaging characteristics of the lesion, it was decided to proceed with a robotic transabdominal exploration and planned excision of the mass.
Results: The patient underwent a successful robotic excision of a retroperitoneal lymphangioma. Her post-operative course was uncomplicated and she remained in good health at her follow up visit.
Conclusions: We present what we believe is a novel approach for excision of a retroperitoneal lymphagioma. Robotic transabdominal excision provides excellent exposure for dissection allowing for safe and effective removal of a retroperitoneal lymphangioma.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88468
Program Number: V208
Presentation Session: Wednesday Video Loop (Non CME)
Presentation Type: VideoLoop