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

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 suc-cessful 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. (Fertil Steriln 2023;119:155-57.(c) 2022 by American Society for Reproductive Medicine.)

Automated summary

This study presented a case of severe intravascular leiomyomatosis with intracardiac extension, which was successfully treated by a multidisciplinary minimally invasive surgery. The patient underwent a single-stage surgery with complete excision and had a quick recovery.