Single-port transumbilical laparoscopic excision of retroperitoneal schwannoma mimicking a nonfunctional endocrine tumor in the body of the pancreas: a case report

Surg Innov. 2013 Dec;20(6):NP30-4. doi: 10.1177/1553350612441864. Epub 2012 Mar 21.

Abstract

Schwannomas are benign tumors that arise from neural sheath Schwann cells. Solitary benign schwannoma is generally located in the head and neck and is a rare neoplasm among the tumors of the retroperitoneal space. Reports of laparoscopic excision of retroperitoneal schwannomas have recently been on the increase. However, few cases of single-port laparoscopic excision of these tumors have been reported. Moreover, there are no reports of single-port excision of schwannomas attached to the body of pancreas and around the splenic vessels. This is the first report of a schwannoma lying adjacent to the body of the pancreas between the splenic artery and vein that was excised by single-port laparoscopic surgery. The most notable aspect of our procedure is the use of bipolar forceps. Single-port laparoscopic excision using bipolar forceps is a feasible and safe procedure for retroperitoneal solitary tumors, even when they are close to the splenic artery and vein.

Keywords: bipolar forceps; pancreatic tumor; schwannoma; single-port laparoscopic surgery (SPLS).

Publication types

  • Case Reports

MeSH terms

  • Female
  • Humans
  • Laparoscopy / methods*
  • Middle Aged
  • Neurilemmoma / surgery*
  • Pancreatic Neoplasms / surgery*
  • Retroperitoneal Neoplasms / surgery*
  • Retroperitoneal Space / surgery