Retrospective analysis of robot‐assisted laparoscopic transabdominal anterior approach for the treatment of lumbar paravertebral schwannoma

Abstract

AbstractBackgroundThe main objective of this study was to investigate the impact of robot‐assisted laparoscopic resection on paravertebral tumours using the anterior peritoneal approach.MethodsA retrospective analysis to identify patients with paravertebral tumours. A total of 21 patients, who underwent robot‐assisted laparoscopic transabdominal anterior approach surgery from March 2012 to August 2020.ResultsThe median operation time was 66.2 ± 14.5 min, with a range of 0–100 min. Intraoperative blood loss was minimal, with a median of 11.4 ± 7.9 mL and a range of 5–30 mL. The median tumour length was 4.8 ± 2.3 cm, ranging from 2.1 to 11.3 cm. Postoperative hospitalisation lasted for a median of 3.2 ± 0.9 days. During the 48‐month follow‐up period, no tumour recurrence or residual was observed in any patient.ConclusionsRobot‐assisted laparoscopic resection of lumbar paravertebral schwannoma proved to be a safe and viable surgical approach. It offers a relatively new treatment option for paraspinal schwannoma.