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

Eftaiha, Saleh M.; Kochar, Kunal; Pai, Ajit; Park, John J.; Prasad, Leela M.; Marecik, Sławomir

doi:10.21037/jovs.2016.02.21

Cited by 7 publications

(5 citation statements)

References 11 publications

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“…An intact R0 resection was carried out minimizing the risk of recurrence. Our findings are consistent with those shown in the few other case reports [ 3 , 13 , [18] , [19] , [20] ] but to the best of our knowledge, this is the first reported application of robotics for the treatment of TGC adenocarcinoma.…”

Section: Discussionsupporting

confidence: 93%

“…Recently, there is growing evidence that laparoscopy for the abdominal approach might be safe and technically feasible for experienced hands, even in case of large retrorectal tumors [ 12 ] with surgical and oncological outcomes not inferior to the open technique [ 3 ]. However, a narrow pelvis and large dimensions could exacerbate technical difficulty and might lead to conversion [ 13 ]. Furthermore, vaginal, rectal and nerve injuries have been reported in laparoscopic case series [ 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

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Robotic approach to large tailgut cyst with malignant transformation: A case report

Marano

Giuffrida

Peluso

et al. 2020

International Journal of Surgery Case Reports

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Introduction Tailgut cysts (TGC) are rare congenital retrorectal lesions deriving from vestiges of the hindgut. The risk of malignant transformation is relatively high. Thus early diagnosis and a complete removal of the mass are of paramount importance. We present a case of successful robotic exeresis of a large TGC adenocarcinoma. Presentation of case A healthy 35-year-old woman was found to have a retrorectal TGC with suspected malignant transformation. The patient underwent complete robotic resection of the mass and pathology confirmed a TGC adenocarcinoma. The patient’s post-operative course was unremarkable. At 24 months, the patient has not experienced any recurrence nor complained functional disorders. Discussion The current case highlights the importance of TGC as a differential diagnosis of presacral masses, underscoring that malignant transformation can occur and may result in mortality and morbidity if radical surgery is not performed. Diagnosing TGC adenocarcinoma can be challenging because of its relatively low incidence. Biopsy is not recommended while magnetic resonance imaging (MRI) is indispensable in the evaluation of this lesion as the presence of intracystic vegetations could indicate a malignant transformation. Surgery is the mainstay of treatment and minimally invasive techniques have the potential to minimize morbidity and enhance recovery. Amongst these, the robotic approach can make the dissection of large lesions easier, reducing their manipulation and preventing nerve injuries. Conclusion Robot-assisted resection of a TGC adenocarcinoma is safe and feasible. This approach can be particularly useful in the pelvis providing acceptable functional and oncological outcomes.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Robotic approach to large tailgut cyst with malignant transformation: A case report

Marano

Giuffrida

Peluso

et al. 2020

International Journal of Surgery Case Reports

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“…We could also consider preoperative weight loss before surgery because the tumor had no findings of malignancy or infection. Recently, there has been growing evidence that minimally invasive surgery, such as laparoscopic or robotic surgery, can be used successfully for lesions below the S3 level, even in obese patients [ 11 ]. The patient experienced no postoperative anal dysfunction in our case.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic transabdominal approach for resection of presacral epidermoid cyst in an obese man: a case report

Yoshida,

Nakamura,

Shigaki

et al. 2024

surg case rep

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Background Complete resection of presacral epidermoid cysts is recommended due to the potential for infection or malignancy. Transsacral and transabdominal approaches have been used to treat presacral tumors. However, there are no standard surgical approaches to resection. We present the case of a presacral epidermoid cyst in an obese male patient who underwent laparoscopic transabdominal resection. Case presentation A 44-year-old man was referred to our hospital for treatment of a cystic tumor on the pelvic floor. Contrast-enhanced computed tomography revealed a 45 × 40-mm tumor on the left ventral side of the rectum, right side of the ischial spine, dorsal side of the seminal vesicles, and in front of the 5th sacrum. Enhanced magnetic resonance imaging revealed a multilocular cystic tumor with high and low signal intensities on T2-weighted images. The tumor was diagnosed as an epidermoid cyst. We considered the transsacral or laparoscopic approach and decided to perform a laparoscopic-assisted transabdominal resection since the tumor was in front of away from the sacrum, and a transsacral approach would result in a larger scar due to poor visibility from the thickness of the buttocks. The entire tumor was safely resected under laparoscopic guidance, because the laparoscopic transabdominal approach can provide a good and magnified field of view even in a narrow pelvic cavity with small skin incisions, allowing safe resection of the pelvic organs, vessels, and nerves while observing the tumor contour. Conclusions The laparoscopic transabdominal approach is an effective method for treating presacral tumors in obese patients.

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“…Usually, an anterior approach requires a long midline incision; however, with the introduction of minimally invasive approaches, presacral tumors are resected with anterior laparoscopic, [6][7][8][9][10][11][12] posterior endoscopic, 6 and robotic methods. [13][14][15] Complete resection without perforation of presacral tumor is very important since the tumor may harbor malignant tissues. We dissected the presacral tumor without perforation using the anterior laparoscopic approach.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Resection of Presacral Tumor: A New Approach in the Era of the Minimally Invasive Surgery

Kim

2019

J Minim Invasive Surg

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Presacral tumors are rare; however, once diagnosed, surgical resection is recommended even in asymptomatic patients as there is potential risk for growth or malignant transformation. Many different types of surgical approaches to resect presacral tumors have been reported including posterior, anterior, and combined abdominosacral approaches. With introduction of the minimally invasive approach, laparoscopic or robotic approaches to resect presacral tumors are reported increasingly. We report a case of successful anterior laparoscopic resection for a presacral mass that was incidentally diagnosed during management of pancreatitis.

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

Cited by 7 publications

References 11 publications

Robotic approach to large tailgut cyst with malignant transformation: A case report

Robotic approach to large tailgut cyst with malignant transformation: A case report

Laparoscopic transabdominal approach for resection of presacral epidermoid cyst in an obese man: a case report

Laparoscopic Resection of Presacral Tumor: A New Approach in the Era of the Minimally Invasive Surgery

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