Laparoscopic transabdominal approach for radical excision of low-lying presacral cyst: a case report and narrative mini−review - Report - MDSpire

Laparoscopic transabdominal approach for radical excision of low-lying presacral cyst: a case report and narrative mini−review

  • By

  • Xirang Wang

  • Maoxing Liu

  • Fei Tan

  • Yuxiang Li

  • Xiaofeng Sun

  • June 4, 2026

  • 0 min

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Clinical Report: Laparoscopic Transabdominal Technique for Presacral Cysts

Overview

This report discusses the successful laparoscopic transabdominal resection of a low-lying presacral cyst in a 39-year-old female patient. The findings suggest that this minimally invasive approach is feasible and safe for selected patients, with no recurrence or complications noted at the 3-month follow-up.

Background

Presacral cysts are rare and can pose significant diagnostic challenges due to their deep location and potential for misdiagnosis. Complete surgical resection is the only effective treatment to prevent recurrence and malignant transformation. Laparoscopic techniques offer advantages over traditional surgery, but the safety and feasibility of the transabdominal approach for low-lying cysts require further evaluation.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

  • A 39-year-old female patient presented with a presacral cystic mass discovered incidentally.
  • Imaging studies revealed a cystic lesion measuring approximately 8.3 cm × 6.2 cm.
  • Laparoscopic exploration allowed for complete resection of the cyst, confirmed as an epidermoid cyst postoperatively.
  • The patient had no complications or recurrence at the 3-month follow-up.
  • The transabdominal laparoscopic approach is feasible for low-lying presacral cysts when performed by experienced surgeons.

Clinical Implications

Surgeons may consider the laparoscopic transabdominal approach for selected patients with low-lying presacral cysts, as it offers a minimally invasive option with favorable outcomes. Ongoing follow-up is essential to monitor for potential recurrence.

Conclusion

The laparoscopic transabdominal technique shows promise for the management of low-lying presacral cysts, highlighting the need for further studies to establish long-term outcomes and refine surgical approaches.

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  2. Techniques in Coloproctology, 2023 -- Minimally Invasive Techniques in Robotic Abdominopereineal Resection, Posterior Vaginectomy, and Sacrectomy: Insights and Case Study
  3. International Journal of Colorectal Disease, 2026 -- Early evaluation of the low anterior resection syndrome after sphincter sparing rectal cancer surgery and prompt treatment: a cohort study protocol
  4. Presacral Tumours: an international consensus on diagnosis and management - University of Otago
  5. Updates in Surgery — Laparoscopic Segmental Resection for Angle of Treitz Tumors: A Challenging Yet Viable Surgical Approach - Insights from a Retrospective Case Series
  6. Presacral tumors: a retrospective analysis of 112 cases with emphasis on diagnostic challenges and surgical outcomes
  7. Presacral Tumours: an international consensus on diagnosis and management - University of Otago
  8. Clinical characteristics of presacral cysts and risk factors for long-term fecal incontinence following laparoscopic resection of lesions - ScienceDirect

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