I.Emre Gorgun, MD, Philip , Paty, MD, Mark Bilsky, MD. Memorial Sloan-Kettering Cancer Center
Symptomatic neural tumors arising in the pelvis generally require large incisions and intraoperative electromyographic (EMG) monitoring for safe removal by laparotomy. Here we report laparoscopic removal of a 6cm schwannoma arising from the right S2 nerve root in a 40-year-old woman. The patient reported back and leg pain for five years with recent radiation to perineum. Magnetic resonance imagining revealed a 6 x 3.3 cm, homogeneous, low-density mass arising from the presacrum. Laparoscopic removal of this tumor was performed with intra-operative EMG monitoring using a nerve stimulator insulated with a latex catheter and passed through a 5mm port. Patient was discharged home the next day with no sensory or motor deficits. Laparoscopy with EMG monitoring is a safe approach that enhances surgical recovery.
Program Number: V090