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Published on: December 4, 2023
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Retroperitoneal hibernoma resected via laparoscopic surgery.
Hiroki Sujino1, Kenta Kasahara1, Maki Tanigawa2
1Department of Digestive and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan.
Asian Journal of Endoscopic Surgery
|January 2, 2023
Summary
Laparoscopic surgery offers a minimally invasive approach for treating rare retroperitoneal hibernomas. This technique provides diagnostic and therapeutic benefits with minimal scarring and uneventful recovery.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Pathology
Background:
- Hibernomas are rare, benign brown fat tumors lacking specific symptoms, often leading to open surgery due to uncertain preoperative diagnosis.
- Surgical resection is the sole treatment for hibernomas, necessitating accurate preoperative assessment.
Observation:
- A 33-year-old woman presented with a retroperitoneal hibernoma.
- Preoperative diagnosis remained uncertain, prompting surgical intervention for both diagnosis and treatment.
- Laparoscopic surgery was selected for its magnified view and potential for reduced scarring.
Findings:
- The retroperitoneal hibernoma was successfully removed laparoscopically.
- The procedure lasted 280 minutes with minimal blood loss (20 mL).
- The patient experienced an uneventful postoperative recovery with no complications or recurrence.
Implications:
- Laparoscopic surgery presents a viable and potentially advantageous alternative to open surgery for retroperitoneal hibernomas.
- Minimally invasive techniques may improve patient outcomes and cosmesis for this rare tumor type.
- Further research into laparoscopic approaches for hibernoma management is warranted.
