Efetov Sergey K, Picciariello Arcangelo, Kochetkov Viktor S, Puzakov Kirill B, Alekberzade Aftandil V, Tulina Inna A, Tsarkov Petr V
I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.
Department of Emergency and Organ Transplantation, University "Aldo Moro" of Bari, Bari, Italy.
Case Rep Oncol. 2020 Mar 24;13(1):255-260. doi: 10.1159/000506441. eCollection 2020 Jan-Apr.
Sacral chordoma is a rare tumour that represents the most common malignancy of the sacral region. Its diagnosis can be delayed because of unclear clinical manifestation. This tumour can involve surrounding anatomical structure such as the rectum, and its surgical treatment is still challenging. We report on 3 patients with sacral chordoma. Two of them were successfully treated using a laparoscopic approach and one by open surgery. We present all details of the surgical technique and patients' outcome. Minimally invasive methods in the surgical treatment of chordoma allow to perform a radical dissection of the tumour, minimizing the operative trauma. A laparoscopic approach can be considered safe and radical for sacral chordoma treatment.
骶骨脊索瘤是一种罕见的肿瘤，是骶骨区域最常见的恶性肿瘤。由于临床表现不明确，其诊断可能会延迟。这种肿瘤可累及周围的解剖结构，如直肠，其手术治疗仍然具有挑战性。我们报告3例骶骨脊索瘤患者。其中2例采用腹腔镜手术成功治疗，1例采用开放手术治疗。我们展示了手术技术的所有细节和患者的治疗结果。脊索瘤手术治疗中的微创方法能够对肿瘤进行根治性切除，将手术创伤降至最低。对于骶骨脊索瘤的治疗，腹腔镜手术方法可被认为是安全且根治性的。
