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Laparoscopic spacer placement for recurrent sacral chordoma before carbon ion radiotherapy: A case report
Author(s) -
Nagai Shuntaro,
Nagayoshi Kinuko,
Mizuuchi Yusuke,
Fujita Hayato,
Ohuchida Kenoki,
Ohtsuka Takao,
Imai Reiko,
Nakamura Masafumi
Publication year - 2020
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.12792
Subject(s) - medicine , carbon ion radiotherapy , surgery , chordoma , dissection (medical) , radiation therapy
Recently, several scholars have demonstrated the efficacy of carbon ion radiotherapy (CIRT). To treat abdominal or pelvic tumors by CIRT, it is necessary to separate the tumor from the adjacent organs. Surgical placement of a GORE‐TEX sheet as a spacer has been reported as a separation method. Usually, surgical spacer placement is done by open surgery. Here, we report a case of surgical spacer placement undertaken by a “pure” laparoscopic procedure. A 47‐year‐old man with recurrent sacral chordoma was referred for surgical spacer placement before CIRT. Laparoscopic dissection of the rectum and placement of a GORE‐TEX sheet as a spacer were successfully performed. Surgical spacer placement by a pure laparoscopic procedure was safe and effective, and it seems to play an important part before CIRT.