J Minim Invasive Surg.  2018 Mar;21(1):46-48. 10.7602/jmis.2018.21.1.46.

Laparoscopic Excision of Anterior Abdominal Wall Tumors: A Case of Desmoid-Type Fibromatosis Arising in the Rectus Muscle

• Lee HJ
• Jeong HJ
• Lee JW
• Choi SH

• KMID: 2436241
• DOI: http://doi.org/10.7602/jmis.2018.21.1.46

Abstract

PURPOSE
Laparoscopic approaches to the anterior abdominal wall are difficult because of the inherent limitations of laparoscopic surgery.
METHODS
A 25-year-old young female visited to our hospital with an incidentally-found palpable abdominal mass. Computed tomography revealed a 7-cm round enhancing mass arising from the left posterior rectus sheath. The patient underwent laparoscopic excision of the inner mass arising from the anterior abdominal wall.
RESULTS
The operation lasted for 45 minutes and there was no measurable bleeding during the procedure. Pathological assessment revealed that the tumor was a DTF 7.0 cm in size. The patient was discharged on the second postoperative day in good condition, and is currently being followed on a routine basis for surveillance without adjuvant therapy.
CONCLUSION
Laparoscopic approach for the anterior abdominal wall tumor could be feasible in select patients. This minimally-invasive approach helps to ensure good cosmetic outcomes and quality of life.

Keyword

Laparoscopy; Minimally invasive; Abdominal fibromatosis; Abdominal wall

MeSH Terms

Abdominal Wall*
Adult
Female
Fibroma*
Fibromatosis, Abdominal
Hemorrhage
Humans
Laparoscopy
Quality of Life