Resection of a giant pre-sacral schwannoma originating from the right S2 nerve in a 22-year-old woman illustrates the potential for robotic surgery. The da Vinci Robot Surgical System facilitates visualization deep in the pelvis and allows for bimanual wristed instrument control to dissect the tumor from surrounding sensitive structures. Neurostimulation to identify critical nerves is possible and complete resection of the tumor can be achieved. There were no complications, she remained neurologically intact, the estimated blood loss was less than 75 ml, the total hospital stay was 3 days, and she returned to work within 2 weeks of her operation. In select patients, robot-assisted surgery may have advantages. The video can be found here: https://youtu.be/SYjUA-WcyGI .
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Presentation and surgical management approaches of giant presacral and sacral schwannomas: a case report and systematic review and meta-analysis.
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January 2025
Department of Neurosurgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Background: Giant sacral and presacral schwannomas are very rare conditions and their prevalence is estimated to account for only 0.3 to 3.3% of overall schwannomas.
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Oncol Lett
June 2024
State Key Laboratory of Toxicology and Medical Countermeasures, Beijing Institute of Pharmacology and Toxicology, Beijing 100850, P.R. China.
Schwannomas localized in the sacrum are relatively infrequent, accounting for 1-5% of all spinal axis schwannomas; they present with vague symptoms or are symptomless, so often grow to a considerable size before detection. Sacral schwannomas occasionally present with enormous dimensions, and these tumors are termed giant sacral schwannomas. However, their surgical removal is challenging owing to an abundant vascularity.
View Article and Find Full Text PDFRetroperitoneal schwannoma during pregnancy: A case report and practice-based overview.
Case Rep Womens Health
March 2024
Department of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go Agostino Gemelli 8, Rome 00168, Italy.
Article Synopsis
- The retroperitoneum is an uncommon location for Schwannomas, soft tissue tumors that typically grow slowly and are mostly benign.
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November 2022
Department of Surgery A La Rabta Hospital, Tunis, Tunisia.
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Servicio de Cirugía General, Hospital Universitario La Paz, Madrid, Spain; Neurofisiología Clínica, Servicio de Neurología, Hospital Universitario La Paz, Madrid, Spain.
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