Minireviews
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Surg Proced. Mar 28, 2015; 5(1): 127-136
Published online Mar 28, 2015. doi: 10.5412/wjsp.v5.i1.127
Surgical treatment of retrorectal (presacral) tumors
Ahmet Deniz Uçar, Nazif Erkan, Mehmet Yıldırım
Ahmet Deniz Uçar, Nazif Erkan, Mehmet Yıldırım, Department of General Surgery, Izmir Bozyaka Educational and Research Hospital, 35320 Narlidere, Izmir, Turkey
Author contributions: Uçar AD, Erkan N and Yıldırım M contributed equally to this work, generated the figures and wrote the manuscript.
Conflict-of-interest: There is no conflict of interest to be stated.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ahmet Deniz Uçar, MD, Department of General Surgery, Izmir Bozyaka Educational and Research Hospital, Ilica Mah. Alkan Sk. Yurttas Apt. No:25 D:3, 35320 Narlidere, Izmir, Turkey. ahmetdenizucar@hotmail.com
Telephone: +90-232-2505050 Fax: +90-232-2503849
Received: July 19, 2014
Peer-review started: July 19, 2014
First decision: November 18, 2014
Revised: December 5, 2014
Accepted: December 18, 2014
Article in press: December 19, 2014
Published online: March 28, 2015
Abstract

Retrorectal (also known as presacral) tumor (RT) is a rare disease of retrorectal space. They can be classified as congenital, inflammatory, neurogenic, osseous, or miscellaneous. The most common presentation is an asymptomatic mass discovered on routine rectal examination, but certain nonspecific symptoms can be elicited by careful history and physical examination. The primary and only satisfactory treatment is surgery for RTs. Three approaches commonly used for resection are abdominal, transsacral, or a combined abdominosacral approach. Prognosis is directly related primary local control, which is often difficult to achieve for malignant lesions.

Keywords: Retrorectal, Presacral, Tumor

Core tip: Since retrorectal tumors are rare in surgical practice an ordinary surgeon will have been faced a number not more than a fingers of one hand in his lifelong carrier. Diagnostic and surgical practice should be fulfilled by the small but well documented case series, reviews and meta-analyses based on them.