A laparoscopic approach to benign retrorectal tumors

Zhou, Jiaolin; Wu, Bin; Xiao, Yi; Lin, Guole; Wang, W. Z.; Zhang, G. N.; Qiu, Huizhong

doi:10.1007/s10151-014-1146-8

Cited by 16 publications

(16 citation statements)

References 39 publications

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“…We identified quite 20 previous cases of pelvic schwannomas removed by laparoscopy or robotic surgery. Retrorectal and obturatory space are the location more often involved [ [5] , [6] , [7] , [11] , [12] , [13] ] while schwannoma of lateral pelvic space are described in only four case report [ [3] , [4] , [14] , [15] ]. Here we report a case of laparoscopic extirpation of a large pelvic schwannoma arising from the hypogastric plexus in an obese man.…”

Section: Discussionmentioning

confidence: 99%

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Advantage of laparoscopic resection for pelvic Schwannoma: Case report and review of the literature

Furia

Salvatorelli

Penna

et al. 2018

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

“…First laparoscopic resection of a pelvic schwannoma has been reported in 1996 by Melvin [ 2 ]. From this report, only few other laparoscopic removal of such neoplasms has been described [ [3] , [4] , [5] , [6] , [7] ].…”

Section: Introductionmentioning

confidence: 99%

Advantage of laparoscopic resection for pelvic Schwannoma: Case report and review of the literature

Furia

Salvatorelli

Penna

et al. 2018

International Journal of Surgery Case Reports

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“…Nedelcu et al recommended a laparoscopic approach only for tumors <6 cm diameter based on a case of a 7-cm schwannoma that required open conversion because of its large size (5). In contrast, Fong et al reported a 15-cm schwannoma successfully resected using a laparoscopic approach (3), and Zhou et al used a laparoscopic approach irrespective of tumor size (6). We successfully excised RT >9 cm in diameter laparoscopically in cases 1 and 2, in which visualization of the dissection site was possible by dissecting the tumor from the pelvis.…”

Section: Discussionmentioning

confidence: 99%

“…The conventional surgical approach is transabdominal, transperineal, or combined, depending on the location and anatomical features of the tumor (2). Recently, a successful laparoscopic approach for RT reported good cosmesis, good visualization of the deep retrorectal space, and a good postoperative course (3)(4)(5)(6)(7)(8). However, three cases of open conversion have also been reported (4,5), and the indication for this approach is still unclear.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic excision of neurogenic retrorectal tumors

Manabe

Koba

Nagayoshi

et al. 2017

Asian J Endoscop Surgery

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Retrorectal tumors (RT) are uncommon and usually managed by open surgical excision. Laparoscopic excision for RT has been reported in only a small number of papers. We aimed to assess the laparoscopic approach for RT and to discuss the factors that made this procedure difficult. We performed laparoscopic excision using a five-trocar technique for neurogenic RT in three patients. Tumors were successfully excised laparoscopically in two patients. However, the third patient required open conversion because the tumor was strongly adhered to the sacrum and could not be mobilized by dissection, resulting in poor visualization of the dissected site. Laparoscopic excision for RT provides excellent intraoperative visualization and good cosmesis in selected patients, but firm adherence to the sacrum may cause difficulty with this procedure.

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“…The lesions are susceptible to infection, development into a fistula, or malignant transformation. Compression of surrounding structures such as the rectum, development of symptoms (constipation, lower abdominal pain, and dysuria), and features hinting a malignant transformation are indications of surgery, which remains the best treatment option [5].…”

Section: Introductionmentioning

confidence: 99%

Retrorectal Epidermal Inclusion Cyst: An Incidental Finding During Cesarean Section

Nasim

Kumar

Azim

et al. 2020

Cureus

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An epidermal inclusion cyst is a benign lesion, frequently observed throughout the body. However, its presence in the retrorectal region is a rare occurrence. With a higher incidence in women and non-specific symptoms, these cysts are mostly an incidental finding. Here, we report a case of a 33-year-old female presenting with complaints of abdominal pain and sensation of incomplete and painful defecation. The patient's history revealed that a large pelvic cyst was found incidentally during her first cesarean section (CS) owing to an arrest in labor. A presumptive diagnosis of rectal duplication cyst was made based on digital rectal exam (DRE), computed tomography (CT), and magnetic resonance imaging (MRI) findings. For cyst removal, the patient underwent a midline laparotomy. A postoperative biopsy led to the confirmed diagnosis of the retrorectal epidermal inclusion cyst. On follow-up, our patient showed a smooth recovery without any complications. We conclude that when dealing with a pregnant woman with a pelvic mass, developmental cysts should always be kept in mind. Timely diagnosis and management of a retrorectal mass is essential for effective treatment and to prevent subsequent complications.

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A laparoscopic approach to benign retrorectal tumors

Cited by 16 publications

References 39 publications

Advantage of laparoscopic resection for pelvic Schwannoma: Case report and review of the literature

Advantage of laparoscopic resection for pelvic Schwannoma: Case report and review of the literature

Laparoscopic excision of neurogenic retrorectal tumors

Retrorectal Epidermal Inclusion Cyst: An Incidental Finding During Cesarean Section

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