Abstract
Background: The resection of dumbbell tumors requires careful planning that combines neurosurgical and thoracic procedures, as intra-thoracic manipulation alone may result in uncontrolled bleeding in the spinal cord owing to tumor traction and spinal cord injury. In recent years, many studies have reported intra-thoracic manipulation using robot-assisted surgery for improved safety and minimal invasiveness. However, several neurosurgical procedures of hybrid surgery have been performed using laminectomy. Herein, we describe a less invasive approach that combines robot-assisted surgery with spinal endoscopy to successfully resect a dumbbell tumor.
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