Dorsal Transsacrococcygeal Rectal Approach

Canessa, César

doi:10.1007/s10350-005-0056-2

Cited by 7 publications

(6 citation statements)

References 9 publications

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“…Has not yet been evaluated for retrorectal masses Spares the anal sphincter and the sacrum [19] Transanorectal Useful in cases of ruptured transrectal cysts [3,20] Risk of leaving other cysts in place Limited visualization of the retrorectal space [6] Risk of bleeding and incontinence [13] Requires special instruments and technical experience [19] Rarely risk of subcutaneous emphysema [21]…”

Section: Discussionmentioning

confidence: 99%

The posterior approach for low retrorectal tumors in adults

Buchs

Taylor

Roche

2006

Int J Colorectal Dis

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Section: Discussionmentioning

confidence: 99%

The posterior approach for low retrorectal tumors in adults

Buchs

Taylor

Roche

2006

Int J Colorectal Dis

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“…Simple cyst marsupialisation with drainage is insufficient and leads to recurrence and possible infection. Surgical approaches used for excision are as follows: anterior (abdominal), posterior (intersphincteric, parasacrococcygeal, transsphincteric, transsacral, transsacrococcygeal [13] , transanorectal, transvaginal) or combinated. The approach depends on location, size of the lesion and its relationship with adjacent structures [14] .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic approach to retrorectal cyst

Guňková

Martínek²,

Dostalík³

et al. 2008

WJG

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Author contributions: Gunkova P assisted the operation and wrote the paper; Martinek L operated on the patients; Dostalik J head of the Surgical Clinic; Gunka I, Vavra P and Mazur M examined the patients. Abstract Retrorectal cysts are rare benign lesions in the presacral space which are frequently diagnosed in middle-aged females. We report here our experience with two symptomatic female patients who were diagnosed as having a retrorectal cyst and managed using a laparoscopic approach. The two patients were misdiagnosed as having an ovarian cystic lesion after abdominal ultrasonography. Computer tomography (CT) scan was mandatory to establish the diagnosis. The trocar port site was the same in both patients. An additional left oophorectomy was done for a coexisting ovarian cystic lesion in one patient in the same setting. There was no postoperative morbidity or mortality and the two patients were discharged on the 5th and 6th post operative days, respectively. Our cases show that laparoscopic management of retrorectal cysts is a safe approach. It reduces surgical trauma and offers an excellent tool for perfect visualization of the deep structures in the presacral space.

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“…The main surgical approach was based on the technique originally described by Canessa (16).We modified the procedure (Figure 2), taking the resection of an anterior wall rectal GIST as an example. (I) The approach is performed in the prone jack-knife position.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Transsacrococcygeal approach in rectal gastrointestinal stromal tumour resection: 10-year experience at a single centre

Qin

Yang

et al. 2021

Ann Transl Med

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Background: The transsacrococcygeal (TSC) approach in rectal gastrointestinal stromal tumour (GIST) resection is clinically challenging and controversial, and we evaluated its value in the present study. Methods:We enrolled patients who underwent rectal GIST resection by the TSC approach during 2008-2018. The clinicopathological index, surgical outcome, and prognosis were analysed. Prognostic information was obtained from medical records and follow-up data. Anal function was evaluated by the low anterior resection syndrome (LARS) score.Results: Among 88 rectal GIST patients over the 10-year study period, 17 who underwent the TSC approach were analysed. The median age was 55 (range, 26-73) years. In total, 15 patients received preoperative imatinib neoadjuvant therapy for 232 (30-690) days. The tumours were exogenous in 14 patients and intramural in 3 patients. The mean initial tumour size and preoperative tumour size were 6.4±2.2 and 4.2±1.7 cm, respectively. The operative time and blood loss were 130.2±47.4 min and 44.6±36.0 mL, respectively. Of the 17 patients 7 had postoperative complications (within 30 days postoperatively), and the complications of 5 patients were cured by conservative treatment. Only 1 patient was lost to follow-up, and the others had a good oncological prognosis at recent follow-up evaluations. All patients had LARS scores ≤9 points at 1 year after the operation. Conclusions:The TSC approach can result in a good oncological prognosis, usually does not affect anal function, and is particularly suitable for exogenous middle and low rectal GISTs. However, it might cause some controlled complications. Hence, careful patient selection is necessary for this operation.

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Dorsal Transsacrococcygeal Rectal Approach

Cited by 7 publications

References 9 publications

The posterior approach for low retrorectal tumors in adults

The posterior approach for low retrorectal tumors in adults

Laparoscopic approach to retrorectal cyst

Transsacrococcygeal approach in rectal gastrointestinal stromal tumour resection: 10-year experience at a single centre

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