Aranda-Narváez JM, González-Sánchez AJ, Montiel-Casado C, Sánchez-Pérez B, Jiménez-Mazure C, Valle-Carbajo M, Santoyo-Santoyo J. Posterior approach (Kraske procedure) for surgical treatment of presacral tumors. World J Gastrointest Surg 2012; 4(5): 126-130 [PMID: 22655127 DOI: 10.4240/wjgs.v4.i5.126]
Corresponding Author of This Article
José Manuel Aranda-Narváez, MD, PhD, Professor, Department of General and Digestive Surgery, University Hospital Carlos Haya, Carlos Haya Avenue, 29010, Málaga, Spain. josearanda68@telefonica.net
Article-Type of This Article
Case Report
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World J Gastrointest Surg. May 27, 2012; 4(5): 126-130 Published online May 27, 2012. doi: 10.4240/wjgs.v4.i5.126
Posterior approach (Kraske procedure) for surgical treatment of presacral tumors
José Manuel Aranda-Narváez, Antonio Jesús González-Sánchez, Custodia Montiel-Casado, Belinda Sánchez-Pérez, Carolina Jiménez-Mazure, Marta Valle-Carbajo, Julio Santoyo-Santoyo
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
Author contributions: Aranda-Narváez JM wrote and edited the manuscript; González-Sánchez AJ, Montiel-Casado C, Sánchez-Pérez B and Santoyo-Santoyo J edited manuscript; Jiménez-Mazure C and Valle-Carbajo M reviewed manuscript and were responsible for graphic material.
Correspondence to: José Manuel Aranda-Narváez, MD, PhD, Professor, Department of General and Digestive Surgery, University Hospital Carlos Haya, Carlos Haya Avenue, 29010, Málaga, Spain. josearanda68@telefonica.net
Telephone: +34-951-291133 Fax: +34-951-291157
Received: May 22, 2011 Revised: October 15, 2011 Accepted: October 25, 2011 Published online: May 27, 2012
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.
