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Single-center Experience of 24 Cases of Tailgut Cyst

DC FieldValueLanguage
dc.contributor.author김남규-
dc.contributor.author민병소-
dc.contributor.author이강영-
dc.contributor.author조민수-
dc.contributor.author한윤대-
dc.contributor.author허혁-
dc.contributor.author김호승-
dc.date.accessioned2019-12-18T01:16:27Z-
dc.date.available2019-12-18T01:16:27Z-
dc.date.issued2019-
dc.identifier.issn2287-9714-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/173448-
dc.description.abstractPURPOSE: Tailgut cysts are rare congenital or developmental lesions that arise from vestiges of the embryological hindgut. They are usually present in the presacral space. We report our single-center experience with managing tailgut cysts. METHODS: We conducted a retrospective analysis of 24 patients with tailgut cyst treated surgically at the Colorectal Surgery Department of Severance Hospital, Yonsei University, Seoul, South Korea, between 2007-2018. RESULTS: This study included 24 patients (18 females) with a median age of 51.5 years (range, 21-68 years). Ten cases were symptomatic and 14 were asymptomatic. Cysts were retrorectal in 21 patients. Cysts were below the coccyx level in 16 patients, opposite the coccyx in 6, and above the coccyx in 2. Cysts were supralevator in 5 patients, had a supra- and infralevator extension in 18 patients, and were infralevator in 1. Ten patients were managed using an anterior laparoscopic approach, 11 using a posterior approach, and 3 using a combined approach. Mean cyst size was 5.5 ± 2.7 cm. Postoperative complications were Clavien-Dindo (CD) classification grade II in 9 patients (37.5%) and CD grade III in 1 (4.2%). The posterior approach group showed the highest rate of complications (P = 0.021). Patients managed using a combined approach showed a larger cyst size (P < 0.001), longer operation times (P < 0.001), and a greater likelihood of tumor level above the coccyx (P = 0.002) compared to other approaches. The tumors of 2 male patients were malignant: 1 was a neuroendocrine tumor treated with radiotherapy, while the other was a closely followed adenocarcinoma. Median follow-up was 12 months (range, 1-66 months) with no recurrence. CONCLUSION: Tailgut cysts are uncommon but can cause perineal or pelvic pain. Complete surgical excision via an appropriate approach according to tumor size, location, and correlation with adjacent pelvic floor muscles is the key treatment.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherKorean Society of Coloproctology-
dc.relation.isPartOfANNALS OF COLOPROCTOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleSingle-center Experience of 24 Cases of Tailgut Cyst-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorAhmad Sakr-
dc.contributor.googleauthorHo Seung Kim-
dc.contributor.googleauthorYoon Dae Han-
dc.contributor.googleauthorMin Soo Cho-
dc.contributor.googleauthorHyuk Hur-
dc.contributor.googleauthorByung Soh Min-
dc.contributor.googleauthorKang Young Lee-
dc.contributor.googleauthorNam Kyu Kim-
dc.identifier.doi10.3393/ac.2018.12.18-
dc.contributor.localIdA00353-
dc.contributor.localIdA01402-
dc.contributor.localIdA01402-
dc.contributor.localIdA02640-
dc.contributor.localIdA02640-
dc.contributor.localIdA03817-
dc.contributor.localIdA03817-
dc.contributor.localIdA04313-
dc.contributor.localIdA04313-
dc.contributor.localIdA04373-
dc.contributor.localIdA04373-
dc.relation.journalcodeJ00157-
dc.identifier.eissn2287-9722-
dc.identifier.pmid31726003-
dc.subject.keywordPresacral tumors-
dc.subject.keywordRetrorectal space-
dc.subject.keywordTailgut cyst-
dc.contributor.alternativeNameKim, Nam Kyu-
dc.contributor.affiliatedAuthor김남규-
dc.contributor.affiliatedAuthor민병소-
dc.contributor.affiliatedAuthor민병소-
dc.contributor.affiliatedAuthor이강영-
dc.contributor.affiliatedAuthor이강영-
dc.contributor.affiliatedAuthor조민수-
dc.contributor.affiliatedAuthor조민수-
dc.contributor.affiliatedAuthor한윤대-
dc.contributor.affiliatedAuthor한윤대-
dc.contributor.affiliatedAuthor허혁-
dc.contributor.affiliatedAuthor허혁-
dc.citation.volume35-
dc.citation.number5-
dc.citation.startPage268-
dc.citation.endPage274-
dc.identifier.bibliographicCitationANNALS OF COLOPROCTOLOGY, Vol.35(5) : 268-274, 2019-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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