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Robotic Surgery Assisted Staged En-Bloc Sacrectomy for Sacral Chordoma

A Case Report

Chinder, Pramod S. MBBS, MS(Ortho)1; Hindiskere, Suraj MBBS, MS(Ortho), DNB(Ortho)1; Doddarangappa, Srinath MBBS, MS(Ortho)1; SK, Raghunath MBBS, MS(Surgery), DNB(Urology)2; Mascarenhas, Amrithlal MBBS, MS(Ortho)1; Pal, Utkarsh MBBS, MS(Ortho)1

doi: 10.2106/JBJS.CC.18.00240
Case Reports

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.

1Department of Musculoskeletal Oncology, HCG Hospital, Bangalore, India

2Department of Uro Oncology. HCG Hospital, Bangalore, India

E-mail address for S. Hindiskere:

Investigation performed at HCG Hospital, Bangalore, India

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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