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Video

Session: Ongoing Videos for CME

VM76 - Trans-Levator Resection of Fistulizing Presacral Cyst, Combined Robotic & Perineal Approach

Saturday, June 1, 2024
10:00 AM – 1:30 PM ET, USA
Location: Baltimore Convention Center, Hall BCD

    Video Presentation(s)

  • Slawomir J. Marecik, MD, FACS, FASCRS

    Associate Professor of Clinical Surgery, UIC
    Advocate Lutheran General Hospital, Park Ridge, IL
    University of Illinois at Chicago
    Park Ridge, IL, United States

    Disclosure information not submitted.

    • Author(s)

  • Jessica Martinolich, MD

    Assistant Clinical Professor
    University at Buffalo
    Buffalo, New York, United States

    All relevant financial disclosures have been managed and will be listed below.
    This individual has no financial relationships with ineligible companies.

  • AD

    Analine B. Delgado, Student

    Student
    Advocate Lutheran General Hospital
    Park Ridge,, Illinois, United States

    Disclosure information not submitted.

  • Devesh S. Ballal, MS, MCh(surgical Oncology)

    Colorectal Fellow
    Advocate Lutheran General Hospital
    Advocate Lutheran General Hospital, Park Ridge, Illinois
    Des Plaines, IL, United States

    All of the relevant financial relationships listed below have been mitigated.
    This individual has no financial relationships with ineligible companies.

  • KK

    Kunal Kochar, MD FACS FASCRS

    Colon and Rectal Surgeon
    Lutheran General Hospital
    Park Ridge, Illinois, United States

    Disclosure information not submitted.

  • John J. Park, MD FACS FASCRS

    Clinical Professor of Surgery
    University of Illinois at Chicago
    University of Illinois College of Medicine
    Lake Forest, Illinois, United States

    All relevant financial disclosures have been managed and will be listed below.
    This individual has no financial relationships with ineligible companies.

Purpose/Background: Sacrococcygeal teratomas are rarely encountered in adults, and their close proximity to structures in the confines of the pelvis makes their removal challenging.

Methods/Interventions: We present the case of a presacral cyst with fistulous communication to the anal canal which was excised by combined robotic transabdominal and perineal approaches.

Results/Outcomes: The patient underwent a complete excision of the cyst, with perfect continence postoperatively, and remains disease-free at a 3-year follow up.

Conclusion/Discussion: Good exposure and retraction allow for the complete removal of the entire cyst while preventing damage to the sphincter complex.