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Techniques in Coloproctology

, Volume 22, Issue 9, pp 709–713 | Cite as

Preoperative surgical planning based on cadaver simulation and 3D imaging for a retrorectal tumour: description and video demonstration

  • G. Pellino
  • A. García-GraneroEmail author
  • D. Fletcher-Sanfeliu
  • M. Navasquillo-Tamarit
  • M. Frasson
  • D. García-Calderon
  • M. García-Gausi
  • A. A. Valverde-Navarro
  • J. Garcia-Armengol
  • J. V. Roig-Vila
  • E. García-Granero
Technical Advances

Introduction

Retrorectal or presacral tumours include rare lesions growing into the retrorectal space. A recent systematic review with 82 patients found that these tumours are more frequent in women, mostly occurring around 40 years of age. In up to 95% of reported cases the mass was benign, schwannoma accounting for 33% of them [1].

Indications for surgery include compression of surrounding structures, symptoms, and features suspicious of malignancy or malignant transformation. According to tumour and patient features, different surgical approaches have been proposed. Minimally invasive surgery can be safely performed [1, 2], but no criteria have been agreed upon for selecting patients suitable for such an approach. It has been reported that there are no differences in the median size of the tumours between those removed by open vs minimally invasive surgery. However, solid or very large masses and a narrow pelvis could preclude minimally invasive approaches [1].

We describe our...

Notes

Funding

None.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The present paper was exempt from approval.

Informed consent

Informed consent was obtained.

Supplementary material

Supplementary material 1 (MP4 53101 KB)

Supplementary material 2 (MP4 212794 KB)

Supplementary material 3 (MP4 411502 KB)

References

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    Mullaney TG, Lightner AL, Johnston M, Kelley SR, Larson DW, Dozois EJ (2018) A systematic review of minimally invasive surgery for retrorectal tumors. Tech Coloproctol.  https://doi.org/10.1007/s10151-018-1781-6. (Epub ahead of print)CrossRefPubMedGoogle Scholar
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    Sahnan K, Pellino G, Adegbola SO, Tozer PJ, Chandrasinghe P, Miskovic D, Hompes R, Warusavitarne J, Lung PFC (2018) Development of a model of three-dimensional imaging for the preoperative planning of TaTME. Tech Coloproctol 22:59–63CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • G. Pellino
    • 1
    • 2
  • A. García-Granero
    • 1
    • 3
    Email author
  • D. Fletcher-Sanfeliu
    • 4
  • M. Navasquillo-Tamarit
    • 1
  • M. Frasson
    • 1
  • D. García-Calderon
    • 5
  • M. García-Gausi
    • 6
  • A. A. Valverde-Navarro
    • 3
  • J. Garcia-Armengol
    • 7
  • J. V. Roig-Vila
    • 7
  • E. García-Granero
    • 1
  1. 1.Colorectal Surgery UnitHospital Universitario y Politecnico la FeValenciaSpain
  2. 2.Department of Medical, Surgical, Neurological, Metabolic and Ageing SciencesUniversità della Campania “Luigi Vanvitelli”NaplesItaly
  3. 3.Department of Human Anatomy and EmbryologyUniversity of ValenciaValenciaSpain
  4. 4.Cardiovascular Surgery UnitHospital Universitario Son EspasesMallorcaSpain
  5. 5.Cella Medical SolutionsMurciaSpain
  6. 6.General Surgery DepartmentHospital Punta de EuropaAlgecirasSpain
  7. 7.Unit of ColoproctologyHospital Vithas-Nisa 9 de OctubreValenciaSpain

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