J Minim Invasive Surg.  2024 Dec;27(4):221-226. 10.7602/jmis.2024.27.4.221.

Laparoscopic approach in the surgical treatment of large retrorectal tumors: a short-term experience at a single tertiary center case series in Korea

• Chung JS
• Kwak HD
• Ju JK

• KMID: 2562462
• DOI: http://doi.org/10.7602/jmis.2024.27.4.221

Abstract

Retrorectal tumors, although rare, pose diagnostic and treatment challenges due to their nonspecific symptoms and complex anatomical location. This single-center case series reports short-term outcomes of laparoscopic transabdominal resection as a surgical approach for large retrorectal tumors. Between 2017 and 2020, five patients underwent this procedure. The median patient age was 53.2 years (range, 34–60 years), and the median operating time was 130 minutes (range, 95–205 minutes). All tumors were located in the retrorectal space. The median tumor size was 5.8 × 4.3 cm (range, 3.5–7.5 cm). Biopsy results included epidermoid cysts, tailgut cyst, lipoma, and keratinous cyst. The median hospital stay was 7.8 days (range, 5–11 days), and the median follow-up duration was 78.0 days (range, 14–219 days). One patient developed a postoperative surgical site infection. Overall, laparoscopic transabdominal resection appears to be a minimally invasive and effective treatment option for retrorectal tumors.

Keyword

Retroperitoneal neoplasms; Epidermal cyst; Pelvis; Minimally invasive surgical procedures; Laparoscopy