Primary Retroperitoneal Immature Teratoma: A Case Study In Approaching Challenging Minimally Invasive Cases.
Introduction: Primary retroperitoneal teratomas are rare and challenging to resect in a minimally invasive manner as they often have a significant accompanying inflammatory reaction.1–3 We depict a laparoscopic resection of a large retroperitoneal teratoma and describe methods of approaching challenging cases from a minimally invasive approach.
Materials and Methods: We retrospectively reviewed a video of a laparoscopic resection of a retroperitoneal teratoma in a 6-year-old boy. We present it as a case study for how to approach unusual cases with a minimally invasive approach.
Results and Conclusions: General concepts include the following: (1) stay laparoscopic if you are progressing and maintaining safety; (2) energy devices are not a panacea, use all options at your disposal; (3) avoid “tumor frenzy” as the case nears the end to prevent needless errors; (4) coordinate with consultants on oncologic cases for specimen removal options; (5) if you do not start laparoscopic, you will never finish laparoscopically. Challenging cases are daunting, but with a stepwise perioperative approach, many can be completed in a minimally invasive way
Demare AM, Grabowski M, Pfister M, Novotny NM. Primary immature retroperitoneal teratoma: a case study in approaching challenging minimally invasive cases. Videoscopy. 2020 Aug 3;30(4). doi: 10.1089/vor.2020.0667.