Promoting Laparoscopic Anterior Approach for a Very Low Presacral Primary Neuroendocrine Tumor Arising in a Tailgut Cyst Article Swipe
Maria Michela Di Nuzzo
,
Carlo De Werra
,
Mirella Pace
,
Raduan Ahmed Franca
,
Maria DʼArmiento
,
Umberto Bracale
,
Ruggero Lionetti
,
Michele D’Ambra
,
Armando Calogero
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/healthcare10050805
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/healthcare10050805
Background: Tailgut cysts are rare congenital lesions that develop in the presacral space. As they can potentially conceal primary neuroendocrine tumors, surgical excision is suggested as the treatment of choice. However, specific management guidelines have yet to be developed. A posterior approach is usually preferred for cysts extending to the third sacral vertebral body. Conversely, a transabdominal approach is preferred for lesions extending upward to achieve an optimal view of the surgical field and avoid injuries. Case report: Here, we report a case of a 48-year-old man suffering from perianal pain and constipation. Digital rectal examination and magnetic resonance imaging revealed a presacral mass below the third sacral vertebral body. A laparoscopic transabdominal presacral tumor excision was performed. The final histological diagnosis was a rare primary neuroendocrine tumor arising from a tailgut cyst. The postoperative course was uneventful, and no signs of recurrence were observed at the six-month follow-up. Conclusions: This study may help establish more well-grounded recommendations for the surgical management of rectal tumors, demonstrating that the laparoscopic transabdominal technique is safe and feasible, even for lesions below the third sacral vertebral body. This approach provided an adequate view of the presacral space, facilitating the preservation of cyst integrity, which is essential in cases of malignant pathologies.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/healthcare10050805
- https://www.mdpi.com/2227-9032/10/5/805/pdf?version=1651033753
- OA Status
- gold
- Cited By
- 4
- References
- 25
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4224930865
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4224930865Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/healthcare10050805Digital Object Identifier
- Title
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Promoting Laparoscopic Anterior Approach for a Very Low Presacral Primary Neuroendocrine Tumor Arising in a Tailgut CystWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-04-26Full publication date if available
- Authors
-
Maria Michela Di Nuzzo, Carlo De Werra, Mirella Pace, Raduan Ahmed Franca, Maria DʼArmiento, Umberto Bracale, Ruggero Lionetti, Michele D’Ambra, Armando CalogeroList of authors in order
- Landing page
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https://doi.org/10.3390/healthcare10050805Publisher landing page
- PDF URL
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https://www.mdpi.com/2227-9032/10/5/805/pdf?version=1651033753Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2227-9032/10/5/805/pdf?version=1651033753Direct OA link when available
- Concepts
-
Medicine, Cyst, Laparoscopy, Primary (astronomy), Anatomy, Surgery, Physics, AstronomyTop concepts (fields/topics) attached by OpenAlex
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4Total citation count in OpenAlex
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2024: 3, 2022: 1Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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