Phillip B Ham, MD, MS; Clare Twist, MD; David Rothstein, MD, MS; Oishei Children's Hospital

Paraspinal tumors arising from the sympathetic chain in the ganglioneuroma/neuroblastoma spectrum often require excision for diagnosis and may be amenable to minimally invasive approaches depending on their location and size. We present a patient with a paraspinal tumor extending from T11-L2 that was resected with retroperitoneoscopic surgery. This approach is rarely used in pediatric general surgery and was a useful alternative to laparoscopy or thoracoscopy.