| Laparoscopic approach to retrorectal tumors: review of the literature and report of 4 cases. | |
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MedLine Citation:
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PMID: 21304380 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Retrorectal or presacral tumors are extremely rare and their histologic origin varies greatly. Surgical excision is indicated to prevent complications or to rule out malignancy. A laparoscopic approach has been infrequently reported to date. The aim of this article is to report our experience in 4 cases, and to review the current world experience on laparoscopic approach to retrorectal tumors. METHODS: Between 1998 and 2009, we operated 4 cases in which a presacral tumor was diagnosed. A pure laparoscopic procedure was performed in 3 cases and a combined laparoscopic/transacral approach in a fourth. In addition, a systematic literature review and relevant reports on laparoscopic approach of these tumors were analyzed. RESULTS: All patients underwent laparoscopic dissection of the tumor with extraction through a Phannestiel incision except in 1 case that was performed transsacrally. Simultaneously, the literature review showed 11 articles with a total number of 18 patients approached by laparoscopy. CONCLUSIONS: The laparoscopic approach of retrorectal tumors is feasible. The advantages are an enhanced access and visualization of the pelvic structures and a more controlled preservation of nerve and vascular integrity. It seems to be a safe procedure and can be combined with a posterior approach if needed. |
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Authors:
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Franco G Marinello; Eduardo M Targarona; Carlos Rodriguez-Otero Luppi; Isidro Boguña; Joan Molet; Manuel Trias |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Surgical laparoscopy, endoscopy & percutaneous techniques Volume: 21 ISSN: 1534-4908 ISO Abbreviation: Surg Laparosc Endosc Percutan Tech Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-02-09 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100888751 Medline TA: Surg Laparosc Endosc Percutan Tech Country: United States |
Other Details:
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Languages: eng Pagination: 10-3 Citation Subset: IM |
Affiliation:
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Services of *Surgery †Gynecology ‡Neurosurgery, Hospital de la Santa Creu i Sant Pau, UAB, Barcelona, Spain. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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