Retrorectal tumor: a single-center 10-years' experience

Orçun Yalav; Uğur Topal; İsmail Cem Eray; Mehmet Ali Deveci; Eyüphan Gencel; Ahmet Rencuzogullari

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자료유형: 학술저널

저자정보: Orçun Yalav (Çukurova University Faculty of Medicine) Uğur Topal (Çukurova University Faculty of Medicine) İsmail Cem Eray (Çukurova University Faculty of Medicine) Mehmet Ali Deveci (Çukurova University Faculty of Medicine) Eyüphan Gencel (Çukurova University Faculty of Medicine) Ahmet Rencuzogullari (Çukurova University Faculty of Medicine)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.99 No.2

발행연도: 2020.8

수록면: 110 - 117 (8page)

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Purpose: Retrorectal tumors (RTs) are a rare incidence and recommendations on the ideal surgical approaches are lacking. This study aimed to evaluate outcomes and follow-up results of patients undergoing excision of RTs at our institution.
Methods: A retrospective review was conducted for undergoing surgery for RT between January 2009 and January 2019. Demographic characteristics, presenting symptoms, preoperative diagnostic tests, surgical procedures, histopathological results, intraoperative and postoperative complications, postoperative hospital stay, postoperative 30-day mortality, 90-day unplanned readmission rate, and long-term outcomes were evaluated.
Results: Twenty patients with a mean age of 48.3 ± 14.2 were analyzed. The most common presenting complaint was perineal pain (35.0%). Magnetic resonance imaging and computed tomography was preferred in 18 and 2 patients, respectively. Tumor localization was below the level of the third sacral vertebrae in 14 patients for whom the posterior surgical approach was used. No postoperative mortality was recorded at the end of follow-up of 53.8 ± 40 months. Mean length of postoperative hospital stay was 8.6 ± 9.4 days. Ten percent of the patients had unplanned hospital readmission within 90 days after discharge. Recurrence developed in 1 patient, for whom pathology were reported as chordoma.
Conclusion: RT should be managed by a multidisciplinary team given the complexity and heterogeneity of these tumors despite the fact that the majority are benign. A good understanding of pelvic anatomy and characterization of lesions through detailed radiological imaging is crucial to optimize surgical planning. Complete surgical resection is key for prolonged disease-free and overall survival of patients diagnosed with RTs.

#Chordoma #General surgery #Rectum #Treatment

참고문헌 (22)

참고문헌 신청

Jao SW / 1985 / Retrorectal tumors : Mayo Clinic experience, 1960-1979 / Dis Colon Rectum 28:644~652

Bosca A / 2012 / Tumours of the retrorectal space : management and outcome of a heterogeneous group of diseases / Colorectal Dis 14:1418~1423

Uhlig BE / 1975 / Presacral tumors and cysts in adults / Dis Colon Rectum 18:581~589

Dindo D / 2004 / Classification of surgical complications : a new proposal with evaluation in a cohort of 6336 patients and results of a survey / Ann Surg 240:205~213

Hobson KG / 2005 / Tumors of the retrorectal space / Dis Colon Rectum 48:1964~1974

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