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How I Do It: endoscope-assisted resection of a large dumbbell-shaped cervical schwannoma

  • How I Do it - Spine - Other
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Abstract

Background

Cervical dumbbell-shaped schwannomas are often challenging in terms of complete resection. There are few reports on the use of endoscope-assisted surgery for foraminal schwannomas.

Method

We used the wide-angle endoscope to assist in resecting a large cervical 3–4 dumbbell-shaped schwannoma. The well-designed set-up allowed the surgeon to achieve easier manipulation ins a straight surgical trajectory with minimal intraoperative adjustment. The endoscope allowed surgeons to visualize and operate in regions beyond the straight line of sight, without the need for facetectomy and subdural inspection.

Conclusion

We believe that this case demonstrates the feasibility of applying endoscope-assisted surgery for large cervical dumbbell-shaped schwannomas.

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Author information

Author notes

  1. Xin Zhang and Zixiao Yang equally contributed to the work

Authors and Affiliations

  1. Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, No. 12 Wulumuqi Zhong Road, Shanghai, 200040, China

    Xin Zhang, Zixiao Yang, Jianping Song & Wei Zhu

  2. National Center for Neurological Disorders, Shanghai, 200040, China

    Xin Zhang, Zixiao Yang, Jianping Song & Wei Zhu

  3. Neurosurgical Institute of Fudan University, Shanghai, 200040, China

    Xin Zhang, Zixiao Yang, Jianping Song & Wei Zhu

  4. Research Units of New Technologies of Micro-Endoscopy Combination in Skull Base Surgery (2018RU008), Chinese Academy of Medical Sciences (CAMS), Shanghai, 200040, China

    Xin Zhang, Zixiao Yang, Jianping Song & Wei Zhu

  5. State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, School of Basic Medical Sciences and Institutes of Brain Science, Fudan University, Shanghai, 200040, China

    Xin Zhang, Zixiao Yang, Jianping Song & Wei Zhu

Authors
  1. Xin Zhang
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  2. Zixiao Yang
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  3. Jianping Song
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  4. Wei Zhu
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Corresponding author

Correspondence to Jianping Song.

Ethics declarations

Research involving human participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by Huashan Hospital Institutional Review Board (HIRB), Fudan University, Shanghai, China.

Consent to participate

It represents a video of a surgical case. The patient gave approval for this publication.

Conflict of interest

The authors declare no competing interests.

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Zhang, X., Yang, Z., Song, J. et al. How I Do It: endoscope-assisted resection of a large dumbbell-shaped cervical schwannoma. Acta Neurochir 164, 353–357 (2022). https://doi.org/10.1007/s00701-021-05078-6

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  • DOI: https://doi.org/10.1007/s00701-021-05078-6

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