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Successful laparoscopic resection of a retroperitoneal schwannoma arising from the femoral nerve: A case report
Author(s) -
Ishizaki Tetsuo,
Katsumata Kenji,
Enomoto Masanobu,
Matsudo Takaaki,
Shigoka Masatoshi,
Hisada Masayuki,
Tsuchida Akihiko
Publication year - 2017
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12341
Subject(s) - medicine , schwannoma , femoral nerve , surgery , resection , iliopsoas muscle , pathological , radiology , abscess , pathology
We report on a 45‐year‐old man who presented with pain in the left leg, which he had had for 2 months. A contrast‐enhanced CT scan displayed a 25‐mm tumor in the lateral side of the left psoas muscle. For this suspected retroperitoneal tumor, we performed laparoscopic resection of the tumor, which was encapsulated by the funicular femoral nerve, using surgical scissors rather than a surgical energy device and preserved the normal fascicles wherever possible. Pathological examination indicated a benign ancient schwannoma arising from the femoral nerve. The patient was able to return to his job 3 weeks after surgery, and he has shown no evidence of recurrence. This was thought to be because of the use of surgical scissors, rather than a surgical energy device, combined with visual magnification. Therefore, the laparoscopic approach is an effective and minimally invasive option for the resection of femoral nerve schwannoma.