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

• Published in: Journal of minimally invasive surgery Vol. 27; no. 4; pp. 221 - 226
• Main Authors: Chung, Jun Seong, Kwak, Han Deok, Ju, Jae Kyun
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Society of Endo-Laparoscopic & Robotic Surgery 15.12.2024; 대한내시경로봇외과학회
• Subjects: Case Report; epidermal cyst; laparoscopy; minimally invasive surgical procedures; pelvis; retroperitoneal neoplasms; 일반외과학; Retroperitoneal neoplasms; Laparoscopy; Epidermal cyst; Minimally invasive surgical procedures; Pelvis
• ISSN: 2234-778X; 2234-5248
• DOI: 10.7602/jmis.2024.27.4.221

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.