Open AccessRobotic excision of a pre-coccygeal nerve root tumor
Author(s) -
Jaydeep H Palep,
Sheetal Mistry,
Abhaya Kumar,
Mihir Munshi,
Meenakshi Puranik,
A. Pednekar
Publication year - 2015
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/0972-9941.147722
Subject(s) - medicine , magnetic resonance imaging , ganglioneuroma , surgery , lesion , port (circuit theory) , housewife , radiology , neuroblastoma , gender studies , engineering , sociology , biology , electrical engineering , genetics , cell culture
Pre-coccygeal ganglioneuroma is a rare clinical entity that presents incidentally or with non-specific symptoms. We present a case of a 25 year old housewife who was incidentally diagnosed with pre-coccygeal ganglioneuroma while getting investigated for primary infertility. The patient had no specific complaints except for irregular menstruation which had started 8 months back. Magnetic resonance imaging (MRI) was suggestive of a presacral and pre-coccygeal lesion. Resection of the tumor was done through the anterior approach using the da Vinci Si robotic system. Two robotic arms and one assistant port were used to completely excise the tumor. Robotic excision of such a tumor mass located at a relatively inaccessible area allows enhanced precision and 3-dimentional (3D) view avoiding damage to important surrounding structures.