title: Laparoscopic approach to retrorectal cyst.
abstract: Retrorectal cysts are rare benign lesions in the presacral space which are frequently diagnosed in middle-aged females. We report here our experience with two symptomatic female patients who were diagnosed as having a retrorectal cyst and managed using a laparoscopic approach. The two patients were misdiagnosed as having an ovarian cystic lesion after abdominal ultrasonography. Computer tomograghy (CT) scan was mandatory to establish the diagnosis. The trocar port site was the same in both patients. An additional left oophorectomy was done for a coexisting ovarian cystic lesion in one patient in the same setting. There was no postoperative morbidity or mortality and the two patients were discharged on the 5th and 6th post operative days, respectively. Our cases show that laparoscopic management of retrorectal cysts is a safe approach. It reduces surgical trauma and offers an excellent tool for perfect visualization of the deep structures in the presacral space.
authors.affiliation: The Faculty Hospital Ostrava, 17. listopadu 1790, Ostrava Poruba 70800, Czech Republic. gunkovap@volny.cz
authors.forename: Petra
authors.initials: P
authors.lastname: Gunkova
authors.forename: Lubomir
authors.initials: L
authors.lastname: Martinek
authors.forename: Jan
authors.initials: J
authors.lastname: Dostalik
authors.forename: Igor
authors.initials: I
authors.lastname: Gunka
authors.forename: Petr
authors.initials: P
authors.lastname: Vavra
authors.forename: Miloslav
authors.initials: M
authors.lastname: Mazur
mesh_terms: D000328:Adult; D003560:Cysts / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010048:Ovarian Cysts / Q000150:complications / Q000601:surgery; D010052:Ovariectomy; D012002:Rectal Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome