Decision Making for Surgical Approaches to Resection of Benign Presacral Tumors in Adult Women: A Case Series

Abstract

Abstract Study Objective: To explore decision making strategies for the surgical approach to resection of benign presacral tumors of different sizes and locations. Design: Retrospective case series. Setting: An academic tertiary care university hospital in Guangzhou, China. Patients: Four adult female patients with benign presacral tumors who were admitted to our department for surgical treatment of benign presacral tumors between 2015 to 2020. Interventions: Minimally invasive surgical resection of presacral tumor. Measurements and Main Results: The incidence of benign presacral tumors is relatively low in adults and is much higher in women than in men. However, there is no standard surgical approach for resection of presacral tumors in women. We report 4 women in which benign presacral tumors were removed via a transvaginal, laparoscopic, and combined laparoscopic-vaginal approach. The surgeries were all carried out successfully, and each patient underwent appropriate post-operative follow up without tumor recurrence. Conclusion: Different approaches to the surgical resection of benign presacral tumors exist, and decision making strategies are necessary to determine the most appropriate intervention in various patients. The transvaginal approach is an uncommon but feasible and safe approach for such resection in adult females.