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HOME > J Korean Soc Coloproctol > Volume 27(6); 2011 > Article
Editorial
 How to Treat Retrorectal Cysts or Tumors in Adult
Bong Hwa Lee, Hyoung Chul Park, Byung Seup Kim
Journal of the Korean Society of Coloproctology 2011;27(6):276-276.
DOI: https://doi.org/10.3393/jksc.2011.27.6.276
Published online: December 31, 2011

Department of Surgery, Hallym University College of Medicine, Anyang, Korea.

Correspondence to: Bong Hwa Lee, M.D. Department of Surgery, Hallym University College of Medicine, 896 Pyeongchon-dong, Anyang 431-070, Korea. Tel: +82-31-380-3772, Fax: +82-31-380-4118, bshlee@hallym.ac.kr

© 2011 The Korean Society of Coloproctology

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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See Article on Page [Related article:] 303-314
Retrorectal or presacral tumors are rare and can be challenging to diagnose and treat. Because the retrorectal space contains multiple embryologic remnants derived from various tissues, the tumors that develop in this space are heterogeneous. Lesions are classified as congenital, neurogenic, osseous, inflammatory, or miscellaneous. The diagnosis is not difficult if one uses abdomenpelvis computed tomography and magnetic resonance imaging. The cases become difficult to treat when the patient has had a previous operation such as drainage of its content under the diagnosis of an anal fistula or sinus. Although treatment depends on diagnosis and anatomic location, most retrorectal lesions require surgical resection. Most lesions are benign, but malignant neoplasms are not uncommon. Thus, we should consider the bias in the article in terms of the retrorectal cyst being benign. When removal of the retrorectal mass is to be attempted, a frozen pathologic examination is mandatory.
Waldeyer's facia, which is a good landmark for surgery, divides the retrorectal space into inferior and superior compartments. There are no nerves, blood vessels or lymphatics within two leaves.
The operative approach is determined on digital examination and radiologic findings. When the examiner's finger cannot palpate the upper edge of the tumor, removing the cyst by only using a posterior approach is difficult. Levator muscles should be closed with sutures in cases of posterior approaches.
  • 1. Hobson KG, Ghaemmaghami V, Roe JP, Goodnight JE, Khatri VP. Tumors of the retrorectal space. Dis Colon Rectum 2005;48:1964–1974. PMID: 15981068.ArticlePubMed
  • 2. Kye BH, Kim HJ, Cho HM, Chin HM, Kim JG. Clinicopathological features of retrorectal tumors in adults: 9 years of experience in a single institution. J Korean Surg Soc 2011;81:122–127. PMID: 22066111.ArticlePubMedPMC
  • 3. Lee BH, Park HC, Lee HW, An CN, Um T, Lim YA, et al. Transsacral local resection as a posterior approach. J Korean Soc Coloproctol 2010;26:197–203.Article

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    • Pre-sacral (retrorectal) abnormal tissue and tumours may be described by a new classification – A review article
      Mohammad Bukhetan Alharbi
      International Journal of Surgery Open.2018; 11: 1.     CrossRef

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      How to Treat Retrorectal Cysts or Tumors in Adult
      J Korean Soc Coloproctol. 2011;27(6):276-276.   Published online December 31, 2011
      DOI: https://doi.org/10.3393/jksc.2011.27.6.276
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