Journal of Minimally Invasive Surgery  2016;19(3):108-112

doi:10.7602/jmis.2016.19.3.108

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

Eun Ki MIN 1 ; Younghae SONG ; Jae Uk CHONG ; Chang Moo KANG

Affiliations

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Keywords

Minimally invasive surgical procedures; Solitary fibrous tumors; Retroperitoneal neoplasms

Country

Republic of Korea

Language

English

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.