Laparoscopic approach to retrorectal cyst

Abstract

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.

Presacral tumours: a rare case of a dermoid cyst in a paediatric patient

“…Diagnostic laparoscopy can result in false negatives as lesions are frequently missed in the retrorectal space. Therefore other imaging modalities like CT and MRI are advocated if there is suspicion of a presacral mass 6. The CT features are a benign, hypodense lesion with well-demarcated edges with no adjacent visceral invasion (figure 1).…”

Rarely Diagnosed Retrorectal Tumors: Experience of A Single Center Instution

“…Alternative operative methods include transrectal [14] and transvaginal [15] approaches. Some authors have preferred to use laparoscopy [16,17] or transanal endoscopic microsurgery [18] for retrorectal lesions, but these were small series. Future studies are required.…”

Retrorectal Chordoma: Case Report and Literature Review

“…If the upper pole of the tumor extends above the S3 level, and anteriorposterior approach is preferred [9]. In some cases of benign retrorectal tumors, laparoscopic approach has been reported [18].…”