Laparoscopic approach to retrorectal tumors: Review of the literature and report of 4 cases

Franco G. Marinello, Eduardo M. Targarona, Carlos Rodriguez Otero Luppi, Isidro Boguña, Joan Molet, Manuel Trias

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16 Citations (Scopus)


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. © 2011 by Lippincott Williams & Wilkins.
Original languageEnglish
Pages (from-to)10-13
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Issue number1
Publication statusPublished - 1 Feb 2011


  • laparoscopic resection
  • presacral space
  • Retrorectal tumors


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