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Robot-assisted sacral tumor resection: a preliminary study

Junqiang Yin1, Hui Wu2, Jian Tu1

  • 1Department of Musculoskeletal Oncology, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510080, China.

BMC Musculoskeletal Disorders
|June 8, 2018
PubMed
Abstract

Insights

Robot-assisted surgery for benign sacral tumors offers precise dissection and minimal blood loss. This minimally invasive approach is technically feasible, leading to shorter hospital stays and no recurrences in a small patient cohort.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Robotics
  • Oncology

Background:

  • Limited research exists on robot-assisted sacral surgery.
  • This study evaluates outcomes for benign sacral/presacral tumors using robotic assistance.

Purpose of the Study:

  • To assess the efficacy and safety of robot-assisted minimally invasive sacral surgery.
  • To evaluate outcomes in patients with benign sacral or presacral tumors.

Main Methods:

  • Retrospective study of seven patients with benign sacral/presacral tumors.
  • Procedures performed between June 2015 and June 2016 using the da Vinci Si HD robotic surgical system.
  • Transperitoneal resection was the primary surgical approach.

Main Results:

  • Mean patient age was 43.8 years; operation time varied (60-335 min).
  • Median blood loss was 52 ml for complete resections and 675 ml for combined approaches.
  • Histological diagnoses included schwannoma (5 cases), chordoma (1), and solitary fibroma (1). No complications or recurrences were observed during follow-up (24-31 months).

Conclusions:

  • Robot-assisted sacral surgery enables precise dissection with excellent visualization.
  • The procedure is technically feasible, associated with minimal blood loss, fewer injuries, and short hospitalization.
  • This approach is particularly beneficial for benign presacral tumors.
Keywords:
Da Vinci surgical systemRobot-assisted surgerySacral tumor

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