LAPAROSCOPICALLY ASSISTED RADICAL SACROCOCCYGECTOMY - A NEW OPERATIVEAPPROACH TO LARGE SACROCOCCYGEAL CHORDOMAS

Laparoscopic rectal mobilization and hypogastric arterial isolation we re combined with a posterior sacrococcygectomy for the resection of a large sacrococcygeal chordoma in two patients. The laparoscopic proced ure as described was uneventful in both cases. There was no postoperat ive morbidity associated with the laparoscopic procedure. The combinat ion of laparoscopic pelvic dissection and radical posterior sacrococcy gectomy is safe, effective, oncologically sound, and should be conside red for all patients with a large proximal sacrococcygeal chordoma.