Resection of presacral ganglioneurofibroma by laparascopy

被引:15
作者
Köhler, C
Kühne-Heid, R
Klemm, P
Tozzi, R
Schneider, A
机构
[1] Univ Jena, Dept Gynecol, D-07740 Jena, Germany
[2] Univ Jena, Inst Pathol, D-07740 Jena, Germany
来源
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2003年 / 17卷 / 09期
关键词
ganglioneurofibroma; laparoscopic removal; retrorectal tumors;
D O I
10.1007/s00464-002-4269-3
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background. Tumors of the retrorectal space are rare. They comprise a heterogeneous group of benign or malignant tumors that cause similar symptoms due to their location in presacral space. If possible, complete surgery excision is the therapy of choice mainly through a sacral, abdominal-sacral, or a pure abdominal or perineal axis. Case report. A 15-year-old asymptomatic patient was diagnosed with a retrouterine tumor during her first gynecological examination. Magnetic resonance imaging of the pelvis showed a 10 x 8.5 x 7-cm encapsulated presacral tumor. Retrorectal ganglioneurofibroma was removed by laparoscopy with preservation of the sympathetic and parasympathetic nerves and the sacral roots of the ischiadic nerves. No sensory or motoric dysfunction of the legs, bladder, or rectum was observed postoperatively. Conclusion. This is the first case report of a complete endoscopic removal of large presacral ganglioneurofibroma in an asymptomatic woman.
引用
收藏
页码:1499 / 1499
页数:11
相关论文
共 10 条
[1]   MALIGNANT RETRORECTAL TUMORS - 28 YEARS EXPERIENCE AT MEMORIAL-SLOAN-KETTERING-CANCER-CENTER [J].
CODY, HS ;
MARCOVE, RC ;
QUAN, SH .
DISEASES OF THE COLON & RECTUM, 1981, 24 (07) :501-506
[2]  
FREIER DT, 1971, SURG GYNECOL OBSTETR, V132, P681
[3]  
GRUNDFESTBRONIATOWSKI S, 1988, CHIRURG, V59, P256
[4]  
GRUNDFESTBRONIATOWSKI S, 1988, CHIRURG, V59, P343
[5]   RETRORECTAL TUMORS - MAYO CLINIC EXPERIENCE, 1960-1979 [J].
JAO, SW ;
BEART, RW ;
SPENCER, RJ ;
REIMAN, HM ;
ILSTRUP, DM .
DISEASES OF THE COLON & RECTUM, 1985, 28 (09) :644-652
[6]  
LEE RA, 1988, OBSTET GYNECOL, V71, P216
[7]   ABDOMINOSACRAL RESECTION OF SACROCOCCYGEAL CHORDOMA [J].
LOCALIO, SA ;
FRANCIS, KC ;
ROSSANO, PG .
ANNALS OF SURGERY, 1967, 166 (03) :394-&
[8]   SACRAL AND PRESACRAL TUMORS [J].
ROSS, ST .
AMERICAN JOURNAL OF SURGERY, 1948, 76 (06) :687-693
[9]   PRESACRAL TUMORS AND CYSTS IN ADULTS [J].
UHLIG, BE ;
JOHNSON, RL .
DISEASES OF THE COLON & RECTUM, 1975, 18 (07) :581-596
[10]  
ULRICH H, 1993, PERIPHERAL NEUROPATH, V2, P1641