Robotic Surgery Assisted Staged En-Bloc Sacrectomy for Sacral Chordoma: A Case Report

JBJS Case Connect. Apr-Jun 2019;9(2):e0240. doi: 10.2106/JBJS.CC.18.00240.


Case: Two male patients aged 37 years and 39 years, diagnosed with sacral chordoma, underwent robotic-assisted preparatory adhesiolysis from the anterior aspect of the tumor, followed by posterior en-bloc partial sacrectomy. The average total operative time was 360 minutes (anterior docking + anterior console + posterior excision), and mean blood loss was 930 mL. Both patients were mobilized early, had no postoperative complications, and were free of local recurrence at 18 month of follow-up.

Conclusions: Robotic-assisted surgery is a novel, valid, safe, and minimally invasive technique which drastically reduces the associated surgical complications of single-staged posterior sacrectomy, resulting in excellent functional and oncological outcome.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adult
  • Aftercare
  • Blood Loss, Surgical
  • Chordoma / surgery*
  • Humans
  • Magnetic Resonance Imaging / methods
  • Male
  • Neoplasm Recurrence, Local / epidemiology
  • Neoplasms, Germ Cell and Embryonal / pathology*
  • Operative Time
  • Robotic Surgical Procedures / methods*
  • Sacrum / diagnostic imaging
  • Sacrum / pathology*
  • Treatment Outcome