Reoperation and perioperative management of residual cyst wall with perineal intractable sinus after resection of presacral cyst tumors
10.3760/cma.j.cn112152-20200914-00821
- VernacularTitle:骶前囊肿切除术后囊壁残留并会阴部顽固性窦道的再次手术及围手术期处理方法的探讨
- Author:
Guoqiang ZHANG
1
;
Gangcheng WANG
;
Hongle LI
;
Xianghua GU
;
Ruixia LIU
;
Rui FENG
;
Youcai WANG
;
Yingjun LIU
;
Zhi ZHANG
;
Hongli WANG
Author Information
1. 河南省肿瘤医院 郑州大学附属肿瘤医院普外科 450000
- Keywords:
Presacral cyst tumor;
Residual presacral cyst wall;
Perineal intractable sinus;
Transperineal approach with an arc-shaped incision
- From:
Chinese Journal of Oncology
2021;43(9):973-978
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the reoperation and perioperative management of residual cyst wall with perineal intractable sinus after resection of presacral cyst tumors.Methods:The clinical data of 29 patients with residual cyst wall and perineal intractable sinus after resection of presacral cyst tumors in Affiliated Cancer Hospital of Zhengzhou University from January 2014 to August 2019 were reviewed, including the characteristics of the residual cyst wall with perineal intractable sinus after resection of presacral cyst tumors, surgical method, and perioperative management.Results:Twenty-nine patients with residual cyst wall and perineal intractable sinus after resection of presacral cyst tumors, including 9 cases of epidermoid cysts, 7 cases of dermoid cysts, 10 cases of mature teratomas and 3 cases of malignant cysts (including malignant transformation of caudate cyst and teratoma); The 29 patients underwent posterior approaches for cyst resection in other hospital before, of whom 1 patient underwent posterior combined with transabdominal approach. All of thes patients underwent resection of residual presacral cyst wall and perineal intractable sinus in our hospital, of whom 25 patients underwent a transperineal approach through an arc-shaped incision anterior to the apex of the coccyx, and the other 4 patients underwent transperineal arc-shaped incision combined with transabdominal approach. All of the patients were cured without serious complications occurring, postoperative pathological and the magnetic resonance imaging diagnosis showed that the residual cyst wall and perineal intractable sinus were all completely removed.Conclusion:Appropriate surgical approache and perioperative treatment for the patients with residual cyst wall and perineal intractable sinus are very important to promote the resection of residual cyst wall and the healing of perineal intractable sinus.
