J Korean Surg Soc.  2010 Apr;78(4):253-257. 10.4174/jkss.2010.78.4.253.

Laparoscopic Resection of a 12 cm Sized Retroperitoneal Schwannoma Adjacent to Retroperitoneal Vital Vessels: Are Large Retroperitoneal Schwannomas Not Suitable for the Laparoscopic Approach?

Affiliations
  • 1Department of Surgery, School of Medicine, Medical Research Institute, Pusan National University, Busan, Korea. dh2-kim@hanmail.net
  • 2Department of Internal Medicine, School of Medicine, Medical Research Institute, Pusan National University, Busan, Korea.
  • 3Department of Pathology, School of Medicine, Medical Research Institute, Pusan National University, Busan, Korea.
  • 4Department of Radiology, School of Medicine, Medical Research Institute, Pusan National University, Busan, Korea.

Abstract

There are a lot of advantages to laparoscopic surgery, including early recovery, less postoperative pain, better cosmesis, shorter hospital stay and an early return to normal activities because of its minimal invasiveness. So, most surgeons have agreed on these points and have accepted the various indications for laparoscopic surgery. Despite these advantages and the recent advances in laparoscopic surgery, there are few cases using the laparoscopic approach for treating retroperitoneal schwannomas. Laparoscopic resection of a large retroperitoneal schwannoma has some difficulties for tumor retraction, dissecting around the large vessels, and removal of the resected tumor. Sometimes these difficulties may cause complications and a lengthened hospital stay. However, if appropriate methods are used, long hospital stay and complication can be prevented while maintaining the advantages of laparoscopic surgery.

Keyword

Schwannomas; Retroperitoneum; Laparoscopic resection

MeSH Terms

Laparoscopy
Length of Stay
Neurilemmoma
Pain, Postoperative
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