Laparoscopic Approach to Retrorectal Tumors: Review of the Literature and Report of 4 Cases
Por:
Marinello, FG, Targarona, EM, Luppi, CRO, Boguna, I, Molet, J, Trias, M
Publicada:
1 feb 2011
Resumen:
Background: Retrorectal or presacral tumors are extremely rare and their histologic origin varies greatly. Surgical excision is indicated to prevent complications or to rule out malignancy. A laparoscopic approach has been infrequently reported to date. The aim of this article is to report our experience in 4 cases, and to review the current world experience on laparoscopic approach to retrorectal tumors.
Methods: Between 1998 and 2009, we operated 4 cases in which a presacral tumor was diagnosed. A pure laparoscopic procedure was performed in 3 cases and a combined laparoscopic/transacral approach in a fourth. In addition, a systematic literature review and relevant reports on laparoscopic approach of these tumors were analyzed.
Results: All patients underwent laparoscopic dissection of the tumor with extraction through a Phannestiel incision except in 1 case that was performed transsacrally. Simultaneously, the literature review showed 11 articles with a total number of 18 patients approached by laparoscopy.
Conclusions: The laparoscopic approach of retrorectal tumors is feasible. The advantages are an enhanced access and visualization of the pelvic structures and a more controlled preservation of nerve and vascular integrity. It seems to be a safe procedure and can be combined with a posterior approach if needed.
Filiaciones:
Marinello, FG:
UAB, Surg Serv, Hosp Santa Creu & St Pau, Barcelona, Spain
Targarona, EM:
UAB, Surg Serv, Hosp Santa Creu & St Pau, Barcelona, Spain
Luppi, CRO:
UAB, Surg Serv, Hosp Santa Creu & St Pau, Barcelona, Spain
Boguna, I:
UAB, Gynecol Serv, Hosp Santa Creu & St Pau, Barcelona, Spain
Molet, J:
UAB, Neurosurg Serv, Hosp Santa Creu & St Pau, Barcelona, Spain
Trias, M:
UAB, Surg Serv, Hosp Santa Creu & St Pau, Barcelona, Spain
|