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KMID : 1035920180210010046
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Journal of Minimally Invasive Surgery
2018 Volume.21 No. 1 p.46 ~ p.48
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Laparoscopic Excision of Anterior Abdominal Wall Tumors: A Case of Desmoid-Type Fibromatosis Arising in the Rectus Muscle
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Lee Ho-Jun
Jeong Hye-Jeong
Lee Jin-Woo
Choi Sung-Hoon
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Abstract
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Purpose: Laparoscopic approaches to the anterior abdominal wall are difficult because of the inherent limitations of laparoscopic surgery.
Methods: A 25-year-old young female visited to our hospital with an incidentally-found palpable abdominal mass. Computed tomography revealed a 7-cm round enhancing mass arising from the left posterior rectus sheath. The patient underwent laparoscopic excision of the inner mass arising from the anterior abdominal wall.
Results: The operation lasted for 45 minutes and there was no measurable bleeding during the procedure. Pathological assessment revealed that the tumor was a DTF 7.0 cm in size. The patient was discharged on the second postoperative day in good condition, and is currently being followed on a routine basis for surveillance without adjuvant therapy.
Conclusion: Laparoscopic approach for the anterior abdominal wall tumor could be feasible in select patients. This minimally-invasive approach helps to ensure good cosmetic outcomes and quality of life.
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KEYWORD
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Laparoscopy, Minimally invasive, Abdominal fibromatosis, Abdominal wall
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