V11-05 LAPAROENDOSCOPIC SINGLE-SITE PARTIAL CYSTECTOMY COMBINED WITH CYSTOSCOPY FOR BLADDER PARAGANGLIOMA.

Abstract

INTRODUCTION AND OBJECTIVES: We present a case report of our initial experience with laparoendoscopic single-site surgery (LESS) combined with cystoscopy for primary bladder paraganglioma. METHODS: A 41 years old woman consulted for headache and palpitation after micturition for 10 years. Ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), and cystoscopy revealed a solitary 2cm mass lesion in the top of the bladder (Fig.1,2). High levels of noradrenaline were found both in plasma and urine. 123IMIBG scintigraphy showed an abnormal accumulation in the bladder. Thus, paraganglioma of the bladder was diagnosed. A LESS partial cystectomy combined with cystoscopy was performed. OCTOport ,>R was inserted through 2cm skin incision through the umbilicus, and one 2-mm port was added (Fig.3,j. Cystoscopic guidance was helpful to determine the excision line of the tumor during laparoscopic surgery,@,iFig.4,j. RESULTS: She has been free from symptom after operation. Histological examination of the resected specimen showed a paraganglioma. CONCLUSIONS: LESS partial cystectomy combined with cystoscopy for bladder paraganglioma can easily identify the margins of tumor and is safe technique.