Synchronous abdominal and transsacral approach for excision of sacrococcygeal chordoma

Sacrococcygeal chordomas are rare retrorectal tumors. The authors have been faced with one such case. They used the synchronous combined abdominosacral approach for surgical resection. Details of the surgical aspects of the technique are described. Safe resection as high as the S1-S2 interspace can be performed.