論文

国際誌
2022年1月4日

Total laparoscopic resection by medial-retroperitoneal approach using virtual navigation: two case reports of primary retroperitoneal schwannoma.

World journal of surgical oncology
  • Yuta Sato
  • ,
  • Nobuhisa Matsuhashi
  • ,
  • Yuto Sugie
  • ,
  • Masashi Kuno
  • ,
  • Shigeru Kiyama
  • ,
  • Yoshihiro Tanaka
  • ,
  • Naoki Okumura
  • ,
  • Takao Takahashi
  • ,
  • Takuya Saiki
  • ,
  • Kazuhiro Yoshida

20
1
開始ページ
3
終了ページ
3
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1186/s12957-021-02483-0

BACKGROUND: We report two rare cases of retroperitoneal schwannoma completely resected by a laparoscopic medial-retroperitoneal approach aided by virtual navigation. Three-dimensional images have been used in liver and lung surgery, but there are few prior reports on retroperitoneal surgery. CASE PRESENTATION: These two case reports are of a 60-year-old man and a 40-year-old man with asymptomatic retroperitoneal schwannoma. In both cases, the tumors were located in the right renal hilum and were close to the duodenum, right ureter, and inferior vena cava. Simulation using three-dimensional images was performed before surgery, and a medial-retroperitoneal approach was performed to secure a wide surgical field. During the operation, we confirmed the location of the main feeder and the relationship between the tumor and organs with those shown on the three-dimensional images and performed total laparoscopic resection. CONCLUSION: The medial-retroperitoneal approach provides operative safety. Preoperative simulation and intraoperative navigation with three-dimensional images, which can be freely rotated and interactively visualized from any angle, are useful methods to enhance the surgeon's understanding of a patient's specific anatomy and are especially effective when resecting a retroperitoneal tumor that is located in an anatomically deep and complex location.

リンク情報
DOI
https://doi.org/10.1186/s12957-021-02483-0
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34980150
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8725496
ID情報
  • DOI : 10.1186/s12957-021-02483-0
  • PubMed ID : 34980150
  • PubMed Central 記事ID : PMC8725496

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