Robotic approach to remove four tailgut cyst cases in Brazil: a case series
ABSTRACT Tailgut cysts are rare congenital lesions that are remnants of the embryonic hindgut. This abnormality presents with non-specific symptoms or no symptoms; therefore, misdiagnosis is common. Here, we present four cases of tailgut cysts that were successfully removed using a robotic surgical...
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2023-11-01
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| Series: | Einstein (São Paulo) |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082023000100512&lng=en&tlng=en |
| _version_ | 1797628695257546752 |
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| author | Bruno Mirandola Bulisani Luiz Guilherme Lisboa Gomes Milena Arruda de Oliveira Leite Ricardo Moreno Murilo Rocha Rodrigues Felipe Martin Bianco Rossi Renato Barretto Ferreira da Silva Luiz Carlos Benjamin do Carmo Jaques Waisberg |
| author_facet | Bruno Mirandola Bulisani Luiz Guilherme Lisboa Gomes Milena Arruda de Oliveira Leite Ricardo Moreno Murilo Rocha Rodrigues Felipe Martin Bianco Rossi Renato Barretto Ferreira da Silva Luiz Carlos Benjamin do Carmo Jaques Waisberg |
| author_sort | Bruno Mirandola Bulisani |
| collection | DOAJ |
| description | ABSTRACT Tailgut cysts are rare congenital lesions that are remnants of the embryonic hindgut. This abnormality presents with non-specific symptoms or no symptoms; therefore, misdiagnosis is common. Here, we present four cases of tailgut cysts that were successfully removed using a robotic surgical approach. A 42-year-old woman with tenesmus, pain in the right gluteal region, and discomfort in the rectal region during evacuation was referred to our medical center. Another patient was a 28-year-old woman who presented with the same symptoms to our general practitioner. Both patients underwent upper abdominal and pelvic magnetic resonance imaging that revealed a tailgut cyst. Further, a 36-year-old woman was referred with coccyx and hypogastric pain. Magnetic resonance imaging revealed two pararectal cystic formations. She underwent robot-assisted surgery, and after analysis by a pathologist, the conclusion was that the tailgut cyst was associated with scarring fibrosis. A 55-year-old woman with posterior epigastric pelvic pain associated with heartburn underwent robot-assisted surgery to resect a retroperitoneal tumor. These cases highlighted the importance of tailgut cysts in the differential diagnosis of rectal lesions. Surgical treatment is preferred because malignant transformations can occur. The difference between laparoscopic and robotic approaches is the better visualization and stability of the latter, inducing less tissue damage. Robotic resection is a safe procedure, especially in patients with a narrow pelvis, because it reduces tissue damage. |
| first_indexed | 2024-03-11T10:43:41Z |
| format | Article |
| id | doaj.art-1c26037f45124123b85b380104cd5342 |
| institution | Directory Open Access Journal |
| issn | 2317-6385 |
| language | English |
| last_indexed | 2024-03-11T10:43:41Z |
| publishDate | 2023-11-01 |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-1c26037f45124123b85b380104cd53422023-11-14T07:50:12ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-63852023-11-012110.31744/einstein_journal/2023rc0544Robotic approach to remove four tailgut cyst cases in Brazil: a case seriesBruno Mirandola Bulisanihttps://orcid.org/0000-0002-4246-7800Luiz Guilherme Lisboa Gomeshttps://orcid.org/0009-0004-6597-8170Milena Arruda de Oliveira Leitehttps://orcid.org/0000-0003-3763-1706Ricardo Morenohttps://orcid.org/0000-0002-3428-6364Murilo Rocha Rodrigueshttps://orcid.org/0000-0001-9815-8292Felipe Martin Bianco Rossihttps://orcid.org/0000-0001-8870-7534Renato Barretto Ferreira da Silvahttps://orcid.org/0000-0003-1944-0324Luiz Carlos Benjamin do Carmohttps://orcid.org/0009-0008-4867-9549Jaques Waisberghttps://orcid.org/0000-0003-2775-8068ABSTRACT Tailgut cysts are rare congenital lesions that are remnants of the embryonic hindgut. This abnormality presents with non-specific symptoms or no symptoms; therefore, misdiagnosis is common. Here, we present four cases of tailgut cysts that were successfully removed using a robotic surgical approach. A 42-year-old woman with tenesmus, pain in the right gluteal region, and discomfort in the rectal region during evacuation was referred to our medical center. Another patient was a 28-year-old woman who presented with the same symptoms to our general practitioner. Both patients underwent upper abdominal and pelvic magnetic resonance imaging that revealed a tailgut cyst. Further, a 36-year-old woman was referred with coccyx and hypogastric pain. Magnetic resonance imaging revealed two pararectal cystic formations. She underwent robot-assisted surgery, and after analysis by a pathologist, the conclusion was that the tailgut cyst was associated with scarring fibrosis. A 55-year-old woman with posterior epigastric pelvic pain associated with heartburn underwent robot-assisted surgery to resect a retroperitoneal tumor. These cases highlighted the importance of tailgut cysts in the differential diagnosis of rectal lesions. Surgical treatment is preferred because malignant transformations can occur. The difference between laparoscopic and robotic approaches is the better visualization and stability of the latter, inducing less tissue damage. Robotic resection is a safe procedure, especially in patients with a narrow pelvis, because it reduces tissue damage.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082023000100512&lng=en&tlng=enCystsRectal neoplasmsCongenital abnormalitiesRobotic surgical proceduresMargins of excision |
| spellingShingle | Bruno Mirandola Bulisani Luiz Guilherme Lisboa Gomes Milena Arruda de Oliveira Leite Ricardo Moreno Murilo Rocha Rodrigues Felipe Martin Bianco Rossi Renato Barretto Ferreira da Silva Luiz Carlos Benjamin do Carmo Jaques Waisberg Robotic approach to remove four tailgut cyst cases in Brazil: a case series Einstein (São Paulo) Cysts Rectal neoplasms Congenital abnormalities Robotic surgical procedures Margins of excision |
| title | Robotic approach to remove four tailgut cyst cases in Brazil: a case series |
| title_full | Robotic approach to remove four tailgut cyst cases in Brazil: a case series |
| title_fullStr | Robotic approach to remove four tailgut cyst cases in Brazil: a case series |
| title_full_unstemmed | Robotic approach to remove four tailgut cyst cases in Brazil: a case series |
| title_short | Robotic approach to remove four tailgut cyst cases in Brazil: a case series |
| title_sort | robotic approach to remove four tailgut cyst cases in brazil a case series |
| topic | Cysts Rectal neoplasms Congenital abnormalities Robotic surgical procedures Margins of excision |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082023000100512&lng=en&tlng=en |
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