Retrorectal Surgery Linked to Low Recurrence

A 25-year tertiary center cohort reports high recurrence-free survival following surgery and suggests preoperative biopsy should be used selectively.

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Surgical resection of retrorectal tumors achieved a 5-year recurrence-free survival rate of 98% in a 25-year cohort study.
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The study included 61 patients, with 93% of tumors detected incidentally during imaging for unrelated conditions.
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Preoperative biopsy was performed in 12% of patients, with complications occurring in 29% of those biopsied compared to 4% without biopsy.
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Complete resection was achieved in all patients, with postoperative complications occurring in 7% and no reported mortality.
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Researchers recommend selective use of preoperative biopsy due to its potential complications and limited diagnostic yield.

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