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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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 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_1555941415</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3412862821</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-dec9344eda7640fe32ab41ebad4e6b9792a09b5317a6a077155ab33f840e22413</originalsourceid><addsrcrecordid>eNp1kD1PwzAQhi0EoqXwA1hQJGaDzz7HyVhVfEmVWEBis-zEKa3aONjJwL_HJQWxMJ2le-6980PIJbAbYEzdRmAggTJACoA5LY7IFIAXlKF8O_5-C5oLoSbkLMYNY6CUhFMy4aigUEpNCc6zrelM8LHy3brKTNcFb6r3rPeZde161WbB9cEHV_Vmm_XDzod4Tk4as43u4lBn5PX-7mXxSJfPD0-L-ZJWiLyntatKgehqo3JkjRPcWARnTY0ut6UquWGllQKUyQ1TCqQ0VoimQOY4RxAzcj3mpps-Bhd7vfFDaNNKnVhZIiDIRMFIVekXMbhGd2G9M-FTA9N7T3r0pJMnvfekizRzdUge7M7VvxM_YhLARyCmVrty4c_qf1O_AMjTcao</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1555941415</pqid></control><display><type>article</type><title>A laparoscopic approach to benign retrorectal tumors</title><source>MEDLINE</source><source>SpringerNature Complete Journals</source><creator>Zhou, J. 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 & 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. 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><subject>Abdominal Surgery</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Blood Loss, Surgical</subject><subject>Colorectal Surgery</subject><subject>Epidermal Cyst - surgery</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Humans</subject><subject>Laparoscopy - methods</subject><subject>Leiomyoma - diagnosis</subject><subject>Leiomyoma - surgery</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurilemmoma - diagnosis</subject><subject>Neurilemmoma - surgery</subject><subject>Operative Time</subject><subject>Original Article</subject><subject>Pelvic Neoplasms - diagnosis</subject><subject>Pelvic Neoplasms - surgery</subject><subject>Proctology</subject><subject>Rectum</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Teratoma - diagnosis</subject><subject>Teratoma - surgery</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1123-6337</issn><issn>1128-045X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kD1PwzAQhi0EoqXwA1hQJGaDzz7HyVhVfEmVWEBis-zEKa3aONjJwL_HJQWxMJ2le-6980PIJbAbYEzdRmAggTJACoA5LY7IFIAXlKF8O_5-C5oLoSbkLMYNY6CUhFMy4aigUEpNCc6zrelM8LHy3brKTNcFb6r3rPeZde161WbB9cEHV_Vmm_XDzod4Tk4as43u4lBn5PX-7mXxSJfPD0-L-ZJWiLyntatKgehqo3JkjRPcWARnTY0ut6UquWGllQKUyQ1TCqQ0VoimQOY4RxAzcj3mpps-Bhd7vfFDaNNKnVhZIiDIRMFIVekXMbhGd2G9M-FTA9N7T3r0pJMnvfekizRzdUge7M7VvxM_YhLARyCmVrty4c_qf1O_AMjTcao</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Zhou, J. L.</creator><creator>Wu, B.</creator><creator>Xiao, Y.</creator><creator>Lin, G. L.</creator><creator>Wang, W. Z.</creator><creator>Zhang, G. N.</creator><creator>Qiu, H. Z.</creator><general>Springer Milan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20140901</creationdate><title>A laparoscopic approach to benign retrorectal tumors</title><author>Zhou, J. L. ; Wu, B. ; Xiao, Y. ; Lin, G. L. ; Wang, W. Z. ; Zhang, G. N. ; Qiu, H. 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 & 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. 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><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Techniques in coloproctology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhou, J. 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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