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Laparoscopic approach to retrorectal cyst

World Journal of Gastroenterology 2008年第42期14卷 6581-6583页

作者： Petra Gunkova Lubomir Martinek Jan Dostalik Igor Gunka Petr Vavra Miloslav Mazur Surgical Clinic of the Faculty Hospital Ostrava 17. listopadu 1790 Ostrava Poruba 70800 Czech Republic

Retrorectal cysts are rare benign lesions in the presacral space which are frequently diagnosed in middle-aged females. We report here our experience with two symptomatic female patients who were diagnosed as having a retrorectal cyst and managed using a laparoscopic approach. The two patients were misdiagnosed as having an ovarian cystic lesion after abdominal ultrasonography. Computer tomograghy (CT) scan was mandatory to establish the diagnosis. The trocar port site was the same in both patients. An additional left oophorectomy was done for a coexisting ovarian cystic lesion in one patient in the same setting. There was no postoperative morbidity or mortality and the two patients were discharged on the 5th and 6th post operative days, respectively. Our cases show that laparoscopic management of retrorectal cysts is a safe approach. It reduces surgical trauma and offers an excellent tool for perfect visualization of the deep structures in the presacral space.

关键词： presacral space Retrorectal cyst Laparoscopy

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Chinese expert consensus on standardized treatment for presacral cysts

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Gastroenterology Report 2023年第1期11卷 593-603页

作者： Gangcheng Wang Chengli Miao Department of General Surgery Affiliated Cancer Hospital of Zhengzhou UniversityHenan Cancer HospitalZhengzhouHenanP.R.China Department of Retroperitoneal Tumor Surgery Peking University International HospitalBeijingChina

presacral cysts are cystic or cyst–solid lesions between the sacrum and rectum,almost involving adjacent pelvic floorstructures including sacrococcygeal fascia,rectum,and anal *** cysts are usually benign,currently believed to arise from aberrant *** cysts are clinically rare and the true incidence is *** resection remains the major treatment for presacral *** the cysts are completely resected,recurrence is *** cysts or hard-to-heal sinuses in the sacrococcyx cause patients extreme ***,the current knowledge of presacral cysts is *** are occasionally confused with other diseases such as ovarian cysts and perianal ***,lack of the correct surgical concept and skills leads to palliative treatment for complex presacral cysts and serious complications such as impairing the function of the anal sphincter or important blood vessels and *** consensus summarizes the opinions and experiences of multidisciplinary experts in presacral cysts and aims to provide clinicians with a more defined concept of the treatment,standardize the surgical approach,and improve the efficacy of presacral cysts.

关键词： pelvic cavity presacral space presacral cyst retrorectal tumors consensus

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