Robotic-assisted laparoscopic and thoracoscopic approach: a challenging multidisciplinary minimally invasive surgery of intravascular leiomyomatosis with intracardiac extension

Abstract

ObjectiveTo show a case of severe intravascular leiomyomatosis with intracardiac extension treated by a multidisciplinary minimally invasive surgery.DesignStepwise demonstration of the technique with a video.SettingGeneral Hospital.Patient(s)A 40-year-old woman with palpitation and dyspnea.Intervention(s)The patient was diagnosed with intravascular leiomyomatosis by computed tomography scan. She underwent a successful single-stage minimally invasive surgery with complete excision.Main Outcome Measure(s)The feasibility and safety of using this technique for intravascular leiomyomatosis with intracardiac extension.Result(s)A combined thoracoabdominal surgery was successfully performed. During the procedure, cardiopulmonary bypass was maintained for 72 minutes. The patient soon recovered and was discharged.Conclusion(s)Minimally invasive surgery is a possible choice for intravascular leiomyomatosis with intracardiac extension. To show a case of severe intravascular leiomyomatosis with intracardiac extension treated by a multidisciplinary minimally invasive surgery. Stepwise demonstration of the technique with a video. General Hospital. A 40-year-old woman with palpitation and dyspnea. The patient was diagnosed with intravascular leiomyomatosis by computed tomography scan. She underwent a successful single-stage minimally invasive surgery with complete excision. The feasibility and safety of using this technique for intravascular leiomyomatosis with intracardiac extension. A combined thoracoabdominal surgery was successfully performed. During the procedure, cardiopulmonary bypass was maintained for 72 minutes. The patient soon recovered and was discharged. Minimally invasive surgery is a possible choice for intravascular leiomyomatosis with intracardiac extension.