Robot-assisted excision of a large retroperitoneal schwannoma

JSLS. 2014 Jan-Mar;18(1):150-4. doi: 10.4293/108680813X13654754534873.

Abstract

Introduction: There are few case reports of retroperitoneal tumor excision using the robotic technique. We describe a case of a 13 × 9 × 7- cm retroperitoneal schwannoma that was excised using robot-assisted surgery to provide a minimally invasive benefit to the patient.

Case report: A 45-year-old woman presented with a right paracaval retroperitoneal lump with well-defined margins displacing the inferior vena cava, the right kidney, the head of pancreas, and the duodenum. She underwent a robot-assisted excision of the tumor using the da Vinci Si HD surgical system using three robotic arms. The biopsy results revealed a well-encapsulated schwannoma diffusely positive for S100. The patient was discharged on the third postoperative day and was still doing well at 1-month follow-up.

Conclusion: Use of robotic technology assists in providing minimally invasive benefits to the patient. It is a safe and effective technique for retroperitoneal surgery.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Follow-Up Studies
  • Humans
  • Laparoscopy / methods*
  • Middle Aged
  • Neurilemmoma / diagnosis
  • Neurilemmoma / surgery*
  • Retroperitoneal Neoplasms / diagnosis
  • Retroperitoneal Neoplasms / surgery*
  • Robotics*
  • Tomography, X-Ray Computed