Laparoscopic Division of Median Sacral Artery and Dissection of Types III and IV Sacrococcygeal Teratomas to Decrease Intraoperative Hemorrhagic Complications: Case Series and Review of the Literature

Osei, Hector; Muñoz-Abraham, Armando Salim; Bates, Katherine S; Kim, Jin Sun; Saxena, Saurabh; Greenspon, José; Villalona, Gustavo A.

doi:10.1089/lap.2018.0189

Cited by 9 publications

(2 citation statements)

References 17 publications

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“…[6] Osei also reported the successful completion of median sacral artery dissection and tumor resection by laparoscopic combined posterior sagittal approach in 2 children with Altman type III and IV SCT. [7] Laparoscopy can create the best surgical field, accurately identify and ligate the vascular structure of the primary tumor, free the boundary of the pelvic tumor, and confirm the depth of the tumor; the sacrococcygeal approach can completely remove the tumor. Therefore, we chose the laparoscopic combined transabdominal-sacrococcygeal approach, and the final surgery also reached our expected results, avoiding the occurrence of complications such as nerve injury, massive hemorrhage and infection.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic transabdominal-sacrococcygeal approach for resection of Altman type III sacrococcygeal teratoma in adult women: A case report

Zhong,

Zhang,

Xiao

et al. 2024

Medicine

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Introduction: Adult sacrococcygeal teratoma (SCT) is a rare disease that is not easily detected or easily missed, and its treatment is based on surgery, including transabdominal, transsacral, or a combination of both, but there are no clear guidelines for diagnosis and treatment. We share a case of Altman type III SCT in order to provide more reference protocols for the diagnosis and treatment of adult SCT, and more importantly to increase our understanding of different types of SCT cases in adults. Patient concerns: Our patient was a 31-year-old adult woman who underwent complete surgical resection of a cystic mature teratoma of the right ovary 8 years ago and is currently 13 months postpartum without menstruation, usually with a feeling of anal bulge, with symptoms such as constipation. Diagnosis: We diagnosed SCT by vaginal ultrasonography, computed tomography and magnetic resonance imaging (MRI); benign tumors were considered in the results of serum tumor markers. Interventions: We chose the surgical approach of laparoscopic transabdominal-sacrococcygeal approach to completely remove the patient SCT and coccyx. Outcomes: The location of SCT is concealed and the clinical symptoms are not obvious. Vaginal ultrasonography, CT and MRI can not only improve the diagnostic rate of SCT, but also understand the size and mass of SCT, providing an exact basis for clinicians to select the laparoscopic transabdominal-sacrococcygeal approach. Conclusion: Our sharing increases the reports of rare cases of teratoma with the same histological findings in different organ tissues of the same patient at different times, whether this occurs incidentally requires more case reports and further basic research; in addition, the laparoscopic transabdominal-sacrococcygeal approach is a safe and effective surgical approach for the treatment of Altman type III SCT in adults; finally, this case reminds us that SCT may not affect pregnancy and pregnancy outcomes and provides a reference for the selection of interventions for SCT with pregnancy.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic transabdominal-sacrococcygeal approach for resection of Altman type III sacrococcygeal teratoma in adult women: A case report

Zhong,

Zhang,

Xiao

et al. 2024

Medicine

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“…For large vascular tumors, obtaining control of the main feeding vessels prior to resection may facilitate an easier resection with less blood loss. Laparoscopic ligation of the median sacral artery has been described by numerous authors of one means of achieving this where an open abdominal component to the tumor resection is not otherwise required (Osei et al 2019). A supra-umbilical optical port is placed along with 3 mm working ports in the right and left lower quadrants.…”

Section: Operative Strategies For Vascular Control Of Sctmentioning

confidence: 99%

Teratomas (All Locations)

Paran¹,

Coyle²

2020

Pediatric Surgery

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Current surgical approach: Extracranial malignant germ cell tumors

Rich,

Weil,

Thaker

et al. 2024

Pediatric Blood & Cancer

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Germ cell tumors (GCT) are a complex, heterogeneous collection of tumors that may present in either gonadal or extragonadal sites. They consist of a variety of benign and malignant histologies that can occur at several locations throughout the body. An important component of treatment is surgical resection, and while the key components of resection are site specific, the universal goals of GCT resection include the complete resection of tumor without violating the tumor capsule, while preserving function of surrounding organs, minimizing morbidity, and assessing for regional spread.

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Laparoscopic Division of Median Sacral Artery and Dissection of Types III and IV Sacrococcygeal Teratomas to Decrease Intraoperative Hemorrhagic Complications: Case Series and Review of the Literature

Cited by 9 publications

References 17 publications

Laparoscopic transabdominal-sacrococcygeal approach for resection of Altman type III sacrococcygeal teratoma in adult women: A case report

Laparoscopic transabdominal-sacrococcygeal approach for resection of Altman type III sacrococcygeal teratoma in adult women: A case report

Teratomas (All Locations)

Current surgical approach: Extracranial malignant germ cell tumors

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