Robot-assisted Resection of Paraspinal Schwannoma.
10.3346/jkms.2011.26.1.150
- Author:
Moon Sool YANG
1
;
Keung Nyun KIM
;
Do Heum YOON
;
William PENNANT
;
Yoon HA
Author Information
1. Spine and Spinal Cord Research Institute, Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea. hayoon@yuhs.ac
- Publication Type:Case Report
- Keywords:
Paraspinal;
Neurilemmoma;
Robotic;
Retroperitoneal Space
- MeSH:
Aorta, Abdominal;
Humans;
Image Processing, Computer-Assisted/instrumentation;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Neurilemmoma/diagnosis/*surgery;
Retroperitoneal Space;
Robotics/*instrumentation;
Spinal Neoplasms/diagnosis/*surgery;
Surgery, Computer-Assisted/*instrumentation
- From:Journal of Korean Medical Science
2011;26(1):150-153
- CountryRepublic of Korea
- Language:English
-
Abstract:
Resection of retroperitoneal tumors is usually perfomed using the anterior retroperitoneal approach. Our report presents an innovative method utilizing a robotic surgical system. A 50-yr-old male patient visited our hospital due to a known paravertebral mass. Magnetic resonance imaging showed a well-encapsulated mass slightly abutting the abdominal aorta and left psoas muscle at the L4-L5 level. The tumor seemed to be originated from the prevertebral sympathetic plexus or lumbosacral trunk and contained traversing vessels around the tumor capsule. A full-time robotic transperitoneal tumor resection was performed. Three trocars were used for the robotic camera and working arms. The da Vinci Surgical System(R) provided delicate dissection in the small space and the tumor was completely removed without damage to the surrounding organs and great vessels. This case demonstrates the feasibility of robotic resection in retroperitoneal space. Robotic surgery offered less invasiveness in contrast to conventional open surgery.
