A laparoscopic approach to benign retrorectal tumors

Background Retrorectal tumors (RTs) are rare in adults. Their surgical excision is often difficult because of their anatomic location. The aim of this study was to evaluate the results of straight laparoscopic resection of RTs in our institution. Methods Eight patients (six women and two men) with b...

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Veröffentlicht in:Techniques in coloproctology 2014-09, Vol.18 (9), p.825-833
Hauptverfasser: Zhou, J. L., Wu, B., Xiao, Y., Lin, G. L., Wang, W. Z., Zhang, G. N., Qiu, H. Z.
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container_end_page 833
container_issue 9
container_start_page 825
container_title Techniques in coloproctology
container_volume 18
creator Zhou, J. L.
Wu, B.
Xiao, Y.
Lin, G. L.
Wang, W. Z.
Zhang, G. N.
Qiu, H. Z.
description Background Retrorectal tumors (RTs) are rare in adults. Their surgical excision is often difficult because of their anatomic location. The aim of this study was to evaluate the results of straight laparoscopic resection of RTs in our institution. Methods Eight patients (six women and two men) with benign RTs were treated by laparoscopic resection in our tertiary care center between September 2012 and June 2013. Exclusion criteria included malignant tumors, lesions with fistula formation, and anterior sacral meningoceles. Clinical data, imaging features, operative details, pathological results, and treatment outcomes were reviewed and analyzed. Results Eight cases of benign RT with an average diameter of 8.9 ± 1.7 cm were treated by a straight laparoscopic procedure. The mean operative time was 122 ± 36 min, and the average intraoperative blood loss was 46 ± 33 ml. The median postoperative stay was 5 days (range 3–8 days), and all patients were discharged without serious complications. During a median follow-up of 11 months, no tumor recurrence was observed. Conclusions In our experience, a laparoscopic approach is safe for removing benign tumors in the retrorectal space. This approach may provide access to this difficult-to-reach space and has the advantages of allowing excellent visualization, meticulous dissection, less morbidities, and fast recuperation.
doi_str_mv 10.1007/s10151-014-1146-8
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L. ; Wu, B. ; Xiao, Y. ; Lin, G. L. ; Wang, W. Z. ; Zhang, G. N. ; Qiu, H. Z.</creator><creatorcontrib>Zhou, J. L. ; Wu, B. ; Xiao, Y. ; Lin, G. L. ; Wang, W. Z. ; Zhang, G. N. ; Qiu, H. Z.</creatorcontrib><description>Background Retrorectal tumors (RTs) are rare in adults. Their surgical excision is often difficult because of their anatomic location. The aim of this study was to evaluate the results of straight laparoscopic resection of RTs in our institution. Methods Eight patients (six women and two men) with benign RTs were treated by laparoscopic resection in our tertiary care center between September 2012 and June 2013. Exclusion criteria included malignant tumors, lesions with fistula formation, and anterior sacral meningoceles. Clinical data, imaging features, operative details, pathological results, and treatment outcomes were reviewed and analyzed. Results Eight cases of benign RT with an average diameter of 8.9 ± 1.7 cm were treated by a straight laparoscopic procedure. The mean operative time was 122 ± 36 min, and the average intraoperative blood loss was 46 ± 33 ml. The median postoperative stay was 5 days (range 3–8 days), and all patients were discharged without serious complications. During a median follow-up of 11 months, no tumor recurrence was observed. Conclusions In our experience, a laparoscopic approach is safe for removing benign tumors in the retrorectal space. This approach may provide access to this difficult-to-reach space and has the advantages of allowing excellent visualization, meticulous dissection, less morbidities, and fast recuperation.</description><identifier>ISSN: 1123-6337</identifier><identifier>EISSN: 1128-045X</identifier><identifier>DOI: 10.1007/s10151-014-1146-8</identifier><identifier>PMID: 24718777</identifier><identifier>CODEN: TECOFO</identifier><language>eng</language><publisher>Milan: Springer Milan</publisher><subject>Abdominal Surgery ; Adolescent ; Adult ; Aged ; Blood Loss, Surgical ; Colorectal Surgery ; Epidermal Cyst - surgery ; Female ; Gastroenterology ; Humans ; Laparoscopy - methods ; Leiomyoma - diagnosis ; Leiomyoma - surgery ; Length of Stay ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neurilemmoma - diagnosis ; Neurilemmoma - surgery ; Operative Time ; Original Article ; Pelvic Neoplasms - diagnosis ; Pelvic Neoplasms - surgery ; Proctology ; Rectum ; Retrospective Studies ; Surgery ; Teratoma - diagnosis ; Teratoma - surgery ; Treatment Outcome ; Young Adult</subject><ispartof>Techniques in coloproctology, 2014-09, Vol.18 (9), p.825-833</ispartof><rights>Springer-Verlag Italia 2014</rights><rights>Springer-Verlag Italia Srl 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-dec9344eda7640fe32ab41ebad4e6b9792a09b5317a6a077155ab33f840e22413</citedby><cites>FETCH-LOGICAL-c442t-dec9344eda7640fe32ab41ebad4e6b9792a09b5317a6a077155ab33f840e22413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10151-014-1146-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10151-014-1146-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24718777$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhou, J. L.</creatorcontrib><creatorcontrib>Wu, B.</creatorcontrib><creatorcontrib>Xiao, Y.</creatorcontrib><creatorcontrib>Lin, G. L.</creatorcontrib><creatorcontrib>Wang, W. Z.</creatorcontrib><creatorcontrib>Zhang, G. N.</creatorcontrib><creatorcontrib>Qiu, H. Z.</creatorcontrib><title>A laparoscopic approach to benign retrorectal tumors</title><title>Techniques in coloproctology</title><addtitle>Tech Coloproctol</addtitle><addtitle>Tech Coloproctol</addtitle><description>Background Retrorectal tumors (RTs) are rare in adults. Their surgical excision is often difficult because of their anatomic location. The aim of this study was to evaluate the results of straight laparoscopic resection of RTs in our institution. Methods Eight patients (six women and two men) with benign RTs were treated by laparoscopic resection in our tertiary care center between September 2012 and June 2013. Exclusion criteria included malignant tumors, lesions with fistula formation, and anterior sacral meningoceles. Clinical data, imaging features, operative details, pathological results, and treatment outcomes were reviewed and analyzed. Results Eight cases of benign RT with an average diameter of 8.9 ± 1.7 cm were treated by a straight laparoscopic procedure. The mean operative time was 122 ± 36 min, and the average intraoperative blood loss was 46 ± 33 ml. The median postoperative stay was 5 days (range 3–8 days), and all patients were discharged without serious complications. During a median follow-up of 11 months, no tumor recurrence was observed. Conclusions In our experience, a laparoscopic approach is safe for removing benign tumors in the retrorectal space. 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Z.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-dec9344eda7640fe32ab41ebad4e6b9792a09b5317a6a077155ab33f840e22413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abdominal Surgery</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Blood Loss, Surgical</topic><topic>Colorectal Surgery</topic><topic>Epidermal Cyst - surgery</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Humans</topic><topic>Laparoscopy - methods</topic><topic>Leiomyoma - diagnosis</topic><topic>Leiomyoma - surgery</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Neurilemmoma - diagnosis</topic><topic>Neurilemmoma - surgery</topic><topic>Operative Time</topic><topic>Original Article</topic><topic>Pelvic Neoplasms - diagnosis</topic><topic>Pelvic Neoplasms - surgery</topic><topic>Proctology</topic><topic>Rectum</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Teratoma - diagnosis</topic><topic>Teratoma - surgery</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhou, J. 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L.</au><au>Wu, B.</au><au>Xiao, Y.</au><au>Lin, G. L.</au><au>Wang, W. Z.</au><au>Zhang, G. N.</au><au>Qiu, H. Z.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A laparoscopic approach to benign retrorectal tumors</atitle><jtitle>Techniques in coloproctology</jtitle><stitle>Tech Coloproctol</stitle><addtitle>Tech Coloproctol</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>18</volume><issue>9</issue><spage>825</spage><epage>833</epage><pages>825-833</pages><issn>1123-6337</issn><eissn>1128-045X</eissn><coden>TECOFO</coden><abstract>Background Retrorectal tumors (RTs) are rare in adults. Their surgical excision is often difficult because of their anatomic location. The aim of this study was to evaluate the results of straight laparoscopic resection of RTs in our institution. Methods Eight patients (six women and two men) with benign RTs were treated by laparoscopic resection in our tertiary care center between September 2012 and June 2013. Exclusion criteria included malignant tumors, lesions with fistula formation, and anterior sacral meningoceles. Clinical data, imaging features, operative details, pathological results, and treatment outcomes were reviewed and analyzed. Results Eight cases of benign RT with an average diameter of 8.9 ± 1.7 cm were treated by a straight laparoscopic procedure. The mean operative time was 122 ± 36 min, and the average intraoperative blood loss was 46 ± 33 ml. The median postoperative stay was 5 days (range 3–8 days), and all patients were discharged without serious complications. During a median follow-up of 11 months, no tumor recurrence was observed. Conclusions In our experience, a laparoscopic approach is safe for removing benign tumors in the retrorectal space. This approach may provide access to this difficult-to-reach space and has the advantages of allowing excellent visualization, meticulous dissection, less morbidities, and fast recuperation.</abstract><cop>Milan</cop><pub>Springer Milan</pub><pmid>24718777</pmid><doi>10.1007/s10151-014-1146-8</doi><tpages>9</tpages></addata></record>
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subjects Abdominal Surgery
Adolescent
Adult
Aged
Blood Loss, Surgical
Colorectal Surgery
Epidermal Cyst - surgery
Female
Gastroenterology
Humans
Laparoscopy - methods
Leiomyoma - diagnosis
Leiomyoma - surgery
Length of Stay
Male
Medicine
Medicine & Public Health
Middle Aged
Neurilemmoma - diagnosis
Neurilemmoma - surgery
Operative Time
Original Article
Pelvic Neoplasms - diagnosis
Pelvic Neoplasms - surgery
Proctology
Rectum
Retrospective Studies
Surgery
Teratoma - diagnosis
Teratoma - surgery
Treatment Outcome
Young Adult
title A laparoscopic approach to benign retrorectal tumors
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