Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012 May 27;4(5):126-30.
doi: 10.4240/wjgs.v4.i5.126.

Posterior approach (Kraske procedure) for surgical treatment of presacral tumors

José Manuel Aranda-Narváez  1 , Antonio Jesús González-Sánchez, Custodia Montiel-Casado, Belinda Sánchez-Pérez, Carolina Jiménez-Mazure, Marta Valle-Carbajo, Julio Santoyo-Santoyo
Affiliations

Posterior approach (Kraske procedure) for surgical treatment of presacral tumors

José Manuel Aranda-Narváez et al. World J Gastrointest Surg. .

Abstract

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.

Keywords: Posterior approach; Presacral tumors; Surgical management.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Boundaries of the retrorectal space.
Figure 2
Figure 2
Simple X-ray of the pelvis (A) shows the sacral bony defect (“scimitar sign”) and magnetic resonance imaging (B) established the diagnosis of presacral meningocele, and the presence of air inside suggested the a neuroenteric fistula.
Figure 3
Figure 3
Cystic hamartoma in a 44-year-old woman, computed tomography (A) and magnetic resonance imaging (B).
Figure 4
Figure 4
Double-contrast barium enema (A) showing a mass effect in the left wall of the rectum caused by a presacral cystic teratoma (computed tomography, B).
Figure 5
Figure 5
Surgical field (B and D) and specimens (filled with saline solution after complete removal to restore the original volume) (B and D) of patients 2 (A and B) and 3 (C and D).
See this image and copyright information in PMC

References

    1. Glasgow SC, Birnbaum EH, Lowney JK, Fleshman JW, Kodner IJ, Mutch DG, Lewin S, Mutch MG, Dietz DW. Retrorectal tumors: a diagnostic and therapeutic challenge. Dis Colon Rectum. 2005;48:1581–1587. - PubMed
    1. Hobson KG, Ghaemmaghami V, Roe JP, Goodnight JE, Khatri VP. Tumors of the retrorectal space. Dis Colon Rectum. 2005;48:1964–1974. - PubMed
    1. Buchs N, Taylor S, Roche B. The posterior approach for low retrorectal tumors in adults. Int J Colorectal Dis. 2007;22:381–385. - PubMed
    1. Glasgow SC, Dietz DW. Retrorectal tumors. Clin Colon Rectal Surg. 2006;19:61–68. - PMC - PubMed
    1. Bullard Dunn K. Retrorectal tumors. Surg Clin North Am. 2010;90:163–71, Table of Contents. - PubMed