Surgical Strategy and Application of Robotic-Assisted Benign Sacral Neurogenic Tumor Resection

Primary sacral neurogenic tumors are rare and mostly benign tumors or low-grade malignancies. The sacrum is adjacent to vital tissues and organs, such as sacral nerves, iliac vessels, bladder, rectum, uterus, etc. Complex pelvic anatomic structure poses a great challenge to the complete resection of primary sacral tumors. Traditional open surgery can be performed via the anterior, posterior, and combined anterior-posterior approaches, with common perioperative complications including massive hemorrhage, nerve damage, and unhealed wounds.