Feigl Guenther C, Jugovic Domagoj, Staribacher Daniel, Buslei Rolf, Kuzmin Dzmitry
Department of Neurosurgery, University Hospital Tuebingen, Tuebingen, Germany.
Department of Neurological Surgery, Houston Methodist Hospital, Houston, Texas.
J Neurosurg Case Lessons. 2021 Oct 11;2(15):CASE21319. doi: 10.3171/CASE21319.
Giant presacral schwannomas are extremely rare in neurosurgery. There are various approaches to the surgical treatment of symptomatic giant presacral schwannomas. The least traumatic is the one-stage surgery with a dorsal approach.
The authors describe a case of a 52-year-old male with pain in the sacral region and partial urinary dysfunction. A total tumor resection through a minimally invasive dorsal approach was performed, and anatomical and functional preservation of all sacral nerves with no postoperative complications was achieved.
The authors have shown the possibility of total tumor resection with a minimally invasive dorsal approach without the development of intra- and postoperative complications. Operative corridors that have been created by a tumor can be used and expanded for a minimally invasive dorsal approach to facilitate resection and minimize tissue disruption.
巨大骶前神经鞘瘤在神经外科极为罕见。对于有症状的巨大骶前神经鞘瘤，有多种手术治疗方法。创伤最小的是采用背侧入路的一期手术。
作者描述了一例52岁男性，有骶部疼痛和部分排尿功能障碍。通过微创背侧入路进行了肿瘤全切，实现了所有骶神经的解剖和功能保留，且无术后并发症。
作者展示了采用微创背侧入路实现肿瘤全切且不发生术中和术后并发症的可能性。肿瘤所形成的手术通道可用于并扩展为微创背侧入路，以利于切除并使组织破坏最小化。
