Naseri Amirhosein, Behboudi Behnam, Faryabi Ali, Tafti Seyed Mohsen Ahmad, Sharifi Amirsina, Keramati Mohammad Reza, Fazeli Mohammad Sadegh, Keshvari Amir, Zeinalizadeh Mehdi, Asbagh Reza Akbari, Hoorshad Niloufar, Kazemeini Alireza
Colorectal Surgery Research Center, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Ann Coloproctol. 2022 Oct 11. doi: 10.3393/ac.2022.00297.0042.
Retrorectal tumors (RTs) are rare tumors that arise in the space between the mesorectum and the pelvic wall and often originate in embryonic tissues. The primary treatment for these tumors is complete excision surgery, and choosing the best surgical approach is very important.
In this study, we retrospectively collected the data of 15 patients with RTs who underwent surgery in the surgical ward of Imam Khomeini Hospital in Tehran for 12 years to share our experiences of patients' treatment and compare different surgical approaches.
A total of 5 tumors were malignant, 10 were benign, and most of the tumors were congenital. Malignant tumors were seen in older patients. Three surgical procedures were performed on patients. Three patients underwent abdominal approach surgery, and 8 patients underwent posterior surgery. A combined surgical approach was performed on 4 patients. Two patients underwent laparoscopic surgery. The abdominal approach had the least long-term complication, and the combined approach had the most complications; laparoscopic surgery reduced the length of hospital stay and complications after surgery.
A multidisciplinary team collaboration using magnetic resonance imaging details is necessary to determine a surgical treatment approach. It could reduce the need for a preoperative biopsy. However, every approach has its advantages and disadvantages. In the main, they have no superiority over each other, and individualized treatment is the key.
直肠后肿瘤（RTs）是一种罕见的肿瘤，发生于直肠系膜与盆腔壁之间的间隙，通常起源于胚胎组织。这些肿瘤的主要治疗方法是完整切除手术，选择最佳手术入路非常重要。
在本研究中，我们回顾性收集了12年间在德黑兰伊玛目霍梅尼医院外科病房接受手术的15例直肠后肿瘤患者的数据，以分享我们的患者治疗经验并比较不同的手术入路。
共有5例肿瘤为恶性，10例为良性，大多数肿瘤为先天性。恶性肿瘤多见于老年患者。对患者实施了三种手术方式。3例患者接受了腹部入路手术，8例患者接受了后路手术。4例患者采用了联合手术入路。2例患者接受了腹腔镜手术。腹部入路的长期并发症最少，联合入路的并发症最多；腹腔镜手术缩短了住院时间并减少了术后并发症。
需要多学科团队协作并利用磁共振成像细节来确定手术治疗方案。这可以减少术前活检的必要性。然而，每种入路都有其优缺点。总体而言，它们彼此之间没有优势，个体化治疗是关键。
