New surgical approach of retrorectal cystic hamartoma using transanal minimally invasive surgery (TAMIS)

التفاصيل البيبلوغرافية
العنوان: New surgical approach of retrorectal cystic hamartoma using transanal minimally invasive surgery (TAMIS)
المؤلفون: Gutiérrez, Pablo Colsa, Taghavi, Mahgol Kharazmi, Sosa, Rocío Daniela, Salas, Angel Pelayo, Ovejero, Victor Jacinto, Ruiz, Jose Luis, Cabezas, Jose Manuel Gutiérrez, Setién, Alfredo Ingelmo
المصدر: Journal of Coloproctology (Rio de Janeiro). December 2014 34(4)
بيانات النشر: Sociedade Brasileira de Coloproctologia, 2014.
سنة النشر: 2014
مصطلحات موضوعية: Cystic hamartoma, Tailgut cyst, Retrorectal tumor, Minimally-invasive surgical, procedures
الوصف: Introduction:Tailgut cysts or cystic hamartomas are rare developmental tumors of the pre-sacral space. Their true incidence is not well known but we must think on it when we have a patient with a multicystic uncapsulated tumor at presacral space. Tailgut cysts are often asymptomatic, and in other cases present with chronic perineal pain, constipation or rectal tenesmus. They must be treated to avoid complications such as infections (perianal fistula or abscess) and malignant degenerations (usually adenocarcinoma).Case report:One patient with anal pain was diagnosed with a perianal abscess. He was operated but at the second month review a MRI revealed a multilocular lesion in the presacral suggesting the presence of a retrorectal cystic hamartoma.An elective operation was performed by endoanal surgical approach using TAMIS. En bloc resection of the cyst was achieved with safe margins. The pathology result reported retrorectal cystic hamartoma. The patient was asymptomatic with no signs of recurrence in subsequent controls.Our experience, despite being based on one case, is evidence that TAMIS (Transanal Minimally Invasive Surgery) allows a minimally invasive dissection with similar benefits as the use of TEM/TEO devices.
نوع الوثيقة: report
وصف الملف: text/html
اللغة: English
تدمد: 2237-9363
DOI: 10.1016/j.jcol.2014.08.004
URL الوصول: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632014000400260
Rights: info:eu-repo/semantics/openAccess
رقم الانضمام: edssci.S2237.93632014000400260
قاعدة البيانات: SciELO
الوصف
تدمد:22379363
DOI:10.1016/j.jcol.2014.08.004