Duek Simon Daniel, Gilshtein Hayim, Khoury Wisam
Colorectal Surgery Unit, Department of General Surgery, Rambam Health Care Campus, Bruce Rappaport Medical School, Technion , Haifa , Israel.
Minim Invasive Ther Allied Technol. 2014 Jan;23(1):28-31. doi: 10.3109/13645706.2013.872663. Epub 2013 Dec 13.
Retrorectal tumors are an uncommon pathological entity. Their clinical importance arises from their occasional malignant nature or malignant transformation. The treatment of choice for most presacral tumors is surgical excision. The approach depends upon the upper limit of the lesion and the presumptive pathology. We reviewed the main features of these tumors with emphasis on transanal endoscopic microsurgery (TEM) as a viable surgical approach for the treatment of the lesions, undertaken in our institution. We present our small case series, consisting of six patients with retrorectal lesions who underwent local excision via TEM. Early and late postoperative outcomes are presented. TEM for retrorectal lesions appears to be a feasible and safe approach. A remarkably low morbidity favors TEM in selected patients.
直肠后肿瘤是一种罕见的病理实体。它们的临床重要性源于其偶尔的恶性性质或恶性转化。大多数骶前肿瘤的首选治疗方法是手术切除。手术方式取决于病变的上限和推测的病理类型。我们回顾了这些肿瘤的主要特征，重点是经肛门内镜显微手术（TEM），这是我们机构采用的一种可行的手术方法，用于治疗这些病变。我们展示了我们的小病例系列，包括6例经TEM进行局部切除的直肠后病变患者。报告了术后早期和晚期结果。TEM治疗直肠后病变似乎是一种可行且安全的方法。在特定患者中，TEM的发病率极低，这对其有利。
