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Retroperitoneal paragangliomas in obese patients
José Ignacio Rodríguez-Hermosa1, Josep Roig-García, Jordi Gironès-Vilà
1Endocrine Surgery Section, University Hospital Dr Josep Trueta, Avda. França s/n. 17007, Girona, Spain. joserod@eresmas.net
Obesity Surgery
|March 4, 2009
Summary
This study presents two cases of functioning retroperitoneal paraganglioma in obese patients. Both patients successfully underwent surgical excision, highlighting effective endocrine surgery for these rare neuroendocrine tumors.
Area of Science:
- Endocrinology
- Surgical Oncology
- Neuroendocrinology
Background:
- Obesity is a global metabolic challenge linked to various endocrine disorders.
- Paraganglioma, a rare neuroendocrine tumor from neural crest cells, can pose surgical difficulties when located in the retroperitoneum near major blood vessels.
Observation:
- Two cases of functioning retroperitoneal paraganglioma were identified in patients with type-I obesity (BMI 30.1 kg/m² and 31.1 kg/m²).
- One tumor was situated between the aorta and inferior vena cava, while the other was located superior to the iliac artery.
Findings:
- Both patients underwent successful complete surgical excision of their retroperitoneal paragangliomas via laparotomy.
- No postoperative complications were reported, indicating a favorable surgical outcome.
Implications:
- This case series demonstrates the feasibility and safety of surgical management for retroperitoneal paragangliomas in obese patients.
- Effective treatment of these rare tumors can be achieved through elective endocrine surgery, even in the presence of obesity-related comorbidities.