Posterior approach (Kraske procedure) for surgical treatment of presacral tumors.
Presacral tumors are rare, but can comprise a great variety of histological types. Congenital tumors are the most common. Once the diagnosis is established, surgical resection is essential because of the potential for malignancy or infection. Previous biopsy is not necessary or may be even harmful. To decide the best surgical approach (abdominal, sacral or combined) an individual and multidisciplinary analysis must be carried out. We report three cases of cystic presacral masses in which a posterior approach (Kraske procedure) enabled complete resection, the only way to decrease local recurrence. All patients had a satisfactory recovery. A brief overview of retrorectal tumors is presented, focusing on classification, clinical presentation, diagnosis and surgical management.
José Manuel Aranda-Narváez, Antonio Jesús González-Sánchez, Custodia Montiel-Casado, Belinda Sánchez-Pérez, Carolina Jiménez-Mazure, Marta Valle-Carbajo, Julio Santoyo-Santoyo, Department of General, Digestive Surgery and Abdominal Organs Transplantation, University Hospital Carlos Haya, Carlos Haya Avenue, 29010, Málaga, Spain.
José Manuel
JM
Aranda-Narváez
Antonio Jesús
AJ
González-Sánchez
Custodia
C
Montiel-Casado
Belinda
B
Sánchez-Pérez
Carolina
C
Jiménez-Mazure
Marta
M
Valle-Carbajo
Julio
J
Santoyo-Santoyo