Laparoscopic approach for retrorectal tumors

Nedelcu, Marius; Andreica, Anamaria; Skalli, Mehdi; Pirlet, I.; Guillon, F.; Nocca, David; Fabré, J

doi:10.1007/s00464-013-3017-1

Cited by 45 publications

(37 citation statements)

References 32 publications

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“…Generally, an anterior abdominal approach for resection is undertaken for tumors above the mid level of S3 or with involvement of the pelvic sidewall; and a posterior approach for resection of tumors below the mid-level of S3 (1). The laparoscopic approach to retrorectal tumors has shown safety, efficacy, shorter length of hospital stay, and no increase in intraoperative complications (4)(5)(6) for conversion to open procedures compared to robotic approach as seen in the total mesorectal excision (TME) literature (7)(8)(9). Risk factors for conversion to an open procedure with laparoscopic approach to retrorectal tumors include large tumor size, obesity and high American Society of Anesthesiologist Physical Status (ASA) (1,10).…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted approach to a retrorectal lesion in an obese female

et al. 2016

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Background: Often detected incidentally, retrorectal tumors frequently require resection secondary to possibility of malignancy, development of infection, and localized growth with compression. The surgical approach is summarized to abdominal, posterior or a combination, depending on the location of the retrorectal mass and its relationship to the pelvic sidewall. Laparoscopic transabdominal resection of retrorectal tumors has shown safety and efficacy. Robot technology offers a stable platform with superb optics, and endo-wristed instruments that can facilitate dissection in the narrow pelvis. We present the emerging new technique of robot-assisted minimally invasive approach to a retrorectal mass in an obese female.Methods: An obese 35-year-old female, body mass index (BMI) 41 kg/m 2 , with an incidental 2 cm cystic retrorectal lesion involving the pelvic sidewall was taken to the operating room for a robot-assisted minimally invasive resection of the mass.Results: Total operative time was 2 hours and 30 minutes, and total robotic dissection at 70 minutes. The patient was discharged on postoperative day 2. Final pathology revealed a benign Mullerian type cyst, 2.2 cm in greatest dimension.Conclusions: Robot-assisted minimally invasive resection of a retrorectal mass is safe and feasible. This method can be particularly useful in the narrow pelvis and with obese patients.

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Section: Introductionmentioning

confidence: 99%

Robot-assisted approach to a retrorectal lesion in an obese female

et al. 2016

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“…There are several case series that demonstrate good outcomes for the resection of retrorectal tumours with minimally invasive techniques [4][5][6]. The same principles for performing a laparoscopic total mesorectal dis- section can be applied for effective circumferential mobilization of the tumour.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic excision of retrorectal tumours

2014

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“…Laparoscopic excision was described for nine retrorectal tumors from 2005 to 2011. Although 1 case required open conversion because of a huge tumor > 7 cm, it was possible to reduce surgical trauma along with excellent visualization [4]. Surgeons must choose the surgical approach according to individual patient characteristics, considering the position of the tumor and its relationship with the pelvic structures.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Resection of a Huge Retrorectal Tumor

Kwak

2020

Ann Coloproctol

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Retrorectal space tumors are rare, and so are frequently unrecognized, misdiagnosed, and mistreated. A 57-year-old man visited the outpatient clinic with the chief complaints of thin stool and lower pelvic heaviness. A smooth, round huge palpable mass on the right posterolateral rectal wall was detected and pelvic computed tomography showed a 7.8-cm cystic lesion in the right retrorectal space. Laparoscopic procedures were initiated with perirectal dissection for rectal mobilization. After fixation of the peritoneum and tying the rectum for intracorporeal traction, the rectum was mobilized to identify the cyst. The cyst was removed using an endo-bag, with completion of cyst dissection. The final pathologic diagnosis was a tailgut cyst, or retrorectal cystic hamartoma without evidence of malignancy. The patient was discharged without any complications. The patient had no dyschezia or problems with bowel function. Laparoscopic resection is a safe and feasible method for surgical treatment, even for bulky retrorectal tumors, with an early recovery period.

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Laparoscopic approach for retrorectal tumors

Abstract: Our case series shows that the laparoscopic approach is a feasible and safe option. It reduces surgical trauma and offers an excellent tool for perfect visualization of the deep structures in the presacral space to minimize the vascular and neurological injuries.

Cited by 45 publications

References 32 publications

Robot-assisted approach to a retrorectal lesion in an obese female

Robot-assisted approach to a retrorectal lesion in an obese female

Laparoscopic excision of retrorectal tumours

Laparoscopic Resection of a Huge Retrorectal Tumor

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