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

ABSTRACT

OBJECTIVE: To show a case of severe intravascular leiomyomatosis with intracardiac extension treated by a multidisciplinary minimally invasive surgery. DESIGN: Stepwise demonstration of the technique with a video. SETTING: General 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.