title: A minimally invasive pericoccygeal approach to resection of a large presacral schwannoma: case report.
abstract: Resection of large presacral schwannomas can present a challenge. The posterior approach is commonly associated with coccygeal disarticulation, partial sacral resection, and muscular disarticulation, which can all result in significant morbidity. Minimally invasive surgery may obviate some of the morbidity traditionally associated with this approach. The authors present the case of a morbidly obese 49-year-old man with an enlarging presacral schwannoma. The patient refused laparoscopic resection because of the morbidity he had experienced with a previous laparoscopic surgery. The tumor was resected using a minimally invasive paracoccygeal approach, which affords improved access with minimal morbidity.
authors.affiliation: Department of Neurosurgery, Regions Hospital, St. Paul, Minnesota.
authors.forename: Osa
authors.initials: O
authors.lastname: Emohare
authors.affiliation: Department of Neurosurgery, Regions Hospital, St. Paul, Minnesota.
authors.forename: Molly
authors.initials: M
authors.lastname: Stapleton
authors.affiliation: Department of Neurosurgery, Regions Hospital, St. Paul, Minnesota.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Mendez
mesh_terms: D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D009442:Neurilemmoma / Q000175:diagnosis / Q000601:surgery*; D009767:Obesity, Morbid / Q000150:complications*; D012447:Sacrum / Q000601:surgery*; D013125:Spinal Neoplasms / Q000175:diagnosis / Q000601:surgery*
keywords: disarticulation; laparoscopic surgery; minimally invasive; presacral schwannoma; sacral; surgical procedures