[JMIS] Laparoscopic Excision of Anterior Abdominal Wall Tumors: A Case of Desmoid-Type

[JMIS]Laparoscopic Excision of Anterior Abdominal Wall Tumors: A Case of Desmoid-Type Fibromatosis Arising in the Rectus Muscle

J Minim Invasive Surg 2018;21(1):46-48
https://doi.org/10.7602/jmis.2018.21.1.46


Ho Jun Lee1, Hye-Jeong Jeong2, Jin Woo Lee2, and Sung Hoon Choi2
1CHA University, Seongnam, Korea, 2Department of Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea

Abstract:

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.