Laparoscopic Minimally Invasive Approach for Left Paracaval Retroperitoneal Schwannoma.
Lorenzo Barberis, Francesco Santullo, Carlo Abatini et al.
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Case in brief
A 55-year-old man presented with an incidentally found retroperitoneal mass, identified as a 4 cm schwannoma via endoscopic ultrasound-guided biopsy. A laparoscopic approach was chosen for resection due to the tumor's proximity to major vascular structures. The surgery was successful, with no complications, and the patient was discharged on postoperative day 5. At one-year follow-up, he remains disease-free.
Diagnostic / clinical pearl
Preoperative biopsy is crucial in the management of retroperitoneal schwannomas, as it informs surgical planning and the extent of resection needed.
Why it matters
This case highlights the feasibility and safety of laparoscopic resection for retroperitoneal schwannomas near major vessels, emphasizing the importance of specialized surgical centers.