Department of Neurosurgery, Regions Hospital, St. Paul, Minnesota.
J Neurosurg Spine. 2015 Jul;23(1):81-5. doi: 10.3171/2014.11.SPINE14396. Epub 2015 Apr 24.
Resection of large presacral schwannomas can present a challenge. The posterior approach is commonly associated with coccygeal disarticulation, partial sacral resection, and muscular disarticulation, which can all result in significant morbidity. Minimally invasive surgery may obviate some of the morbidity traditionally associated with this approach. The authors present the case of a morbidly obese 49-year-old man with an enlarging presacral schwannoma. The patient refused laparoscopic resection because of the morbidity he had experienced with a previous laparoscopic surgery. The tumor was resected using a minimally invasive paracoccygeal approach, which affords improved access with minimal morbidity.
切除大型骶前神经鞘瘤可能具有挑战性。后入路通常与尾骨切断、部分骶骨切除和肌肉切断相关，这些都会导致严重的发病率。微创手术可能会避免传统上与这种方法相关的一些发病率。作者介绍了一位肥胖的 49 岁男性患有不断增大的骶前神经鞘瘤。该患者因之前的腹腔镜手术经历了高发病率而拒绝了腹腔镜切除。肿瘤采用微创经尾骨旁入路切除，这种方法可提供更好的进入途径，同时发病率较低。
