Robotic retroperitoneal tumor resection: a video vignette.

Area of Science:

• Surgical Oncology
• Minimally Invasive Surgery
• Robotic Surgery

Background:

• Retroperitoneal tumors present unique surgical challenges due to complex neurovascular anatomy.
• The application of robotic platforms in retroperitoneal tumor resection is not well-established.

Purpose of the Study:

• To evaluate the feasibility and safety of robotic-assisted resection for retroperitoneal tumors.
• To present a case of successful robotic resection of a large retroperitoneal schwannoma.

Main Methods:

• A 56-year-old male with a 9x7 cm retroperitoneal tumor underwent resection using the da Vinci Xi Surgical System.
• The patient was positioned in the left lateral decubitus position for the robotic procedure.

Main Results:

• The robotic resection was completed successfully with uneventful intraoperative and postoperative recovery.
• Histopathology confirmed a schwannoma with negative margins. The patient experienced a transient sensory deficit in the right lower limb, which fully resolved.
• The patient was discharged on postoperative day 4 and showed no evidence of disease recurrence at 1-year follow-up.

Conclusions:

• Robotic resection of retroperitoneal tumors, including those in the iliopsoas muscle, is a viable and safe surgical option.
• Meticulous surgical planning and precise execution are critical for successful outcomes in robotic retroperitoneal tumor surgery.