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Application of the da Vinci surgical robot system in presacral nerve sheath tumor treatment
Feifei Pu1, Zhicai Zhang1, Zhaohui Chen2
1Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430022, P.R. China.
Abstract:
The aim of the present study was to investigate the feasibility of da Vinci robotic surgery in the treatment of presacral tumors, and to observe its efficacy and safety. Between March 2016 and April 2019, 12 patients with presacral nerve sheath tumors underwent da Vinci robotic surgery, and the integrity of the tumor resection, surgical duration, pre- and postoperative visual analog scale (VAS) score, intra- and postoperative blood losses, postoperative bedtime, hospital stay and complications were observed. The tumor was completely removed in all 12 patients, the surgical duration ranged between 76 and 245 min (mean, 106.08 min) and the intraoperative blood loss was 76-145 ml (mean, 101.67 ml). The average preoperative VAS score of the patients was 3.25, and the average VAS score at 1 week, 1 month and 3 months post operation were 1.08, 0.42 and 0.08, respectively. All patients were out of bed on the second day after surgery, and the postoperative drainage was 10-50 ml (mean, 33.50 ml). The patients were hospitalized for 3-5 days (mean, 3.92 days). No complications occurred peri- or postoperatively, and wound pain was the main source of postoperative discomfort. In conclusion, the da Vinci robot can be applied to presacral nerve sheath tumors with high surgical safety, low-level bleeding, a rapid recovery and a short hospital stay, making it worthy of further study.
Insights
Da Vinci robotic surgery is a safe and effective treatment for presacral nerve sheath tumors. This minimally invasive approach resulted in complete tumor removal, rapid recovery, and short hospital stays for all patients.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Presacral tumors, particularly nerve sheath tumors, present unique surgical challenges.
- Traditional surgical approaches may involve significant morbidity and prolonged recovery periods.
Purpose of the Study:
- To evaluate the feasibility, efficacy, and safety of da Vinci robotic surgery for treating presacral tumors.
- To assess surgical outcomes including tumor resection, patient recovery, and complication rates.
Main Methods:
- A retrospective analysis of 12 patients with presacral nerve sheath tumors who underwent da Vinci robotic surgery between March 2016 and April 2019.
- Data collected included tumor resection completeness, surgical duration, pain scores (Visual Analog Scale), blood loss, and postoperative recovery parameters.
Main Results:
- Complete tumor resection was achieved in all 12 patients.
- Mean surgical duration was 106.08 minutes with mean intraoperative blood loss of 101.67 ml.
- Patients experienced significant pain reduction (VAS scores decreased from 3.25 preoperatively to 0.08 at 3 months postoperatively), early ambulation, and a short mean hospital stay of 3.92 days.
- No major peri- or postoperative complications were reported.
Conclusions:
- Da Vinci robotic surgery is a safe and effective option for presacral nerve sheath tumors.
- The procedure offers advantages such as high safety, minimal bleeding, and accelerated patient recovery.
- Further investigation into robotic-assisted surgery for these tumors is warranted.
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