机器人辅助腹腔镜治疗儿童腹膜后神经鞘瘤1例并文献复习.

Objective To explore the efficacy and safety of robotic-assisted laparoscopy for children with retroperitoneal schwannoma. Methods A hospitalized 15-year-old girl with retroperitoneal schwannoma in October 2020 was selected and the relevant clinical data were retrospectively reviewed. Results Intermittent low back pain was a major symptom. Imaging examination revealed a right retroperitoneal mass with a distinct boundary and no obvious tumor infiltration in adjacent organs. Hematological tests showed no abnormalities. After complete preoperative preparation, robot-assisted laparoscopic complete resection of right retroperitoneal tumor was performed. Tumor size was around 10 cm X 6 cm X 5 cm and capsule remained intact. During Sh operation, intraoperative blood loss was around 450 ml without blood transfusion. Postoperative pathological examination confirmed the diagnosis of classical schwannoma. Discharge occurred at Day 3 post-operation. During a follow-up period of 17 months, there was no back pain, other discomforts or tumor recurrence. Conclusion Retroperitoneal schwannoma is rare in children. Robot-assisted laparoscopy can be safely and effectively applied to children's large retroperitoneal tumors. [ABSTRACT FROM AUTHOR]