Laparoscopic spacer placement for recurrent sacral chordoma before carbon ion radiotherapy: A case report. Issue 4 (25th February 2020)

• Record Type: Journal Article
• Authors: Nagai, Shuntaro; Nagayoshi, Kinuko; Mizuuchi, Yusuke; Fujita, Hayato; Ohuchida, Kenoki; Ohtsuka, Takao; Imai, Reiko; Nakamura, Masafumi
• Is Part Of: Asian journal of endoscopic surgery. Volume 13:Issue 4(2020)
• Page Start: 582
• Page End: 585
• Publication Date: 2020-02-25
• Subjects: chordoma -- carbon ion radiotherapy -- laparoscopy; Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.12792
• Languages: English
• ISSNs: 1758-5902

Abstract

Abstract: Recently, several scholars have demonstrated the efficacy of carbon ion radiotherapy (CIRT). To treat abdominal or pelvic tumors by CIRT, it is necessary to separate the tumor from the adjacent organs. Surgical placement of a GORE‐TEX sheet as a spacer has been reported as a separation method. Usually, surgical spacer placement is done by open surgery. Here, we report a case of surgical spacer placement undertaken by a "pure" laparoscopic procedure. A 47‐year‐old man with recurrent sacral chordoma was referred for surgical spacer placement before CIRT. Laparoscopic dissection of the rectum and placement of a GORE‐TEX sheet as a spacer were successfully performed. Surgical spacer placement by a pure laparoscopic procedure was safe and effective, and it seems to play an important part before CIRT.