Nishikimi Toshinori, Yoshino Yasushi, Yamada Hiroshi, Mizuno Hideki, Yamauchi Yushi, Ohashi Tomoyoshi, Isiguro Shigeki, Morikami Hiroko, Okamura Kikuo
Department of Urology Nagoya Daini Red Cross Hospital Showa-ku Nagoya Japan.
Department of Urology Nagoya Medical Center Naka-ku Nagoya-shi Aichi Japan.
IJU Case Rep. 2021 Jun 7;4(5):277-281. doi: 10.1002/iju5.12323. eCollection 2021 Sep.
Schwannoma is a rare benign tumor of peripheral nerves arising from Schwann cells of the ubiquitous nerve sheath. The operative steps and technical aspects of robotic resection of pelvic schwannoma are described herein.
We describe two patients with pelvic tumors simultaneously resected with the prostate by robot-assisted surgery: a 69-year-old man with schwannoma of the right side of the pelvic floor and a 68-year-old man with schwannoma in the left pelvis. As metastasis of prostate cancer could not be ruled out, tumorectomy was performed using robotic-associated prostatectomy. Malignancy was absent in the two pelvic tumors, and the patients were diagnosed with schwannoma.
For surgery in a narrow deep pelvis, robot-assisted surgery is minimally invasive, offers excellent mobility of robotic instruments and visibility of three-dimensional view, and is a useful approach.
施万细胞瘤是一种罕见的周围神经良性肿瘤，由遍布全身的神经鞘膜的施万细胞产生。本文描述了盆腔施万细胞瘤机器人切除术的手术步骤和技术要点。
我们描述了两名通过机器人辅助手术同时切除盆腔肿瘤与前列腺的患者：一名69岁男性，盆底右侧患有施万细胞瘤；一名68岁男性，左盆腔患有施万细胞瘤。由于不能排除前列腺癌转移，采用机器人辅助前列腺切除术进行肿瘤切除。这两个盆腔肿瘤均无恶性特征，患者被诊断为施万细胞瘤。
对于狭窄深盆腔的手术，机器人辅助手术微创，机器人器械活动度极佳且具备三维视野，是一种有用的手术方法。
