The management of retrorectal congenital tumors

Although retrorectal congenital tumors are still rare, the number of the observed ones is destined to increase, as methods by imaging become routinely used in the clinical practice. By presenting three clinical cases the authors describe the surgical technique of the anterior route they performed for the management of such formations. The abdominal approach had no postoperative complications, short hospital stay, no neurological consequences and good long-term results. There has been no evidence of recurrence thus far. Once diagnosed, the removal of retrorectal lesions should be mandatory. A precise definition of the extent of the tumors and of their relationships with the surrounding tissue and organs is necessary to perform maneuvers of total excision. For this reason an abdominal approach is recommended.