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The posterior approach for low retrorectal tumors in adults

Buchs, Nicolas ; Taylor, Sophia ; Roche, Bruno

In: International Journal of Colorectal Disease, 2007, vol. 22, no. 4, p. 381-385

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    Titre
    • The posterior approach for low retrorectal tumors in adults
    Auteur
    • Buchs, Nicolas. Unit of Proctology, Department of Surgery, University Hospital of Geneva, 24, rue Micheli-du-Crest, 1205, Geneva, Switzerland
    • Taylor, Sophia. Department of Pathology, University Hospital of Geneva, Geneva, Switzerland
    • Roche, Bruno. Unit of Proctology, Department of Surgery, University Hospital of Geneva, 24, rue Micheli-du-Crest, 1205, Geneva, Switzerland
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • International Journal of Colorectal Disease, 2007, vol. 22, no. 4, p. 381-385. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:315037
    Summary
    Background and aims: Retrorectal tumors are uncommon in adults and arise in different tissues in the presacral space. The aim of this study is to evaluate early complete surgical resection by a perineal approach as the therapy-of-choice for tumors under the sacral promontory. Patients and methods: We evaluated the posterior approach, especially intersphincteric and parasacrococcygeal excisions, in terms of resectability, morbidity, risk of recurrence, and anal function. The records of all patients who underwent a posterior surgical procedure in our institution for low-lying retrorectal tumors between 1994 and 2003 were reviewed. Results: Sixteen patients (13 women and three men) were included in this study. The age range was 21 to 57years (median of 37years). Pathological findings included ten tailgut cysts, three teratomas, one leiomyoma, one dermoid cyst, and one schwannoma. Complete tumor resection was obtained in 15 patients. There was one case with a microscopic residual tumor. No postoperative mortality was seen, and a minor complication occurred in one patient. There was no anal dysfunction. The postoperative course was uneventful, with only one tumor recurrence at 5months. The median follow up was 60months (ranging from 18 to 132months). Conclusion: In this study, the posterior approach allows complete resection of low retrorectal tumors, with low morbidity, no incontinence, nearly no recurrence, and no mortality