{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T03:20:37Z","timestamp":1790997637236,"version":"4.1.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2008,1,14]],"date-time":"2008-01-14T00:00:00Z","timestamp":1200268800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,1,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Retrorectal tumours are uncommon and may present a surgical challenge. The aim of this study was to identify a surgical strategy based on information gained from the multidisciplinary management of retrorectal tumours.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This was a retrospective review of 27 patients who had resection of retrorectal tumours between 1998 and 2006.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The tumours included ten cystic lesions, two mature teratomas, four chordomas, seven neurogenic tumours, two sarcomas, one angiomyxoma and one gastrointestinal stromal tumour. The diagnosis was suggested initially by non-specific clinical presentation and palpation of a retrorectal mass on examination (16 patients), pelvic imaging (six), obstructed labour (one), recurrent pilonidal sinus (one), recurrent perianal sepsis (one) and return of symptoms after resection (two). Magnetic resonance imaging (MRI) confirmed the diagnosis and enabled surgical planning. The operative approach was perineal (12 patients), abdominal (11) or combined (four). Factors that influenced the operative approach were tumour position, its neoplastic nature, involvement of the pelvic sidewall or pelvic viscera, and size. The retrorectal tumour recurred in three patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>A successful multidisciplinary surgical strategy, based on preoperative localization by MRI, has been developed for the treatment of retrorectal tumours.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.5931","type":"journal-article","created":{"date-parts":[[2007,10,12]],"date-time":"2007-10-12T11:46:44Z","timestamp":1192189604000},"page":"214-221","source":"Crossref","is-referenced-by-count":120,"title":["Algorithms for the surgical management of retrorectal tumours"],"prefix":"10.1093","volume":"95","author":[{"given":"J C","family":"Woodfield","sequence":"first","affiliation":[{"name":"Department of Colon and Rectal Surgery, General Infirmary at Leeds , Leeds LS1 3EX,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A G","family":"Chalmers","sequence":"additional","affiliation":[{"name":"Department of Radiology, General Infirmary at Leeds , Leeds LS1 3EX,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Phillips","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, General Infirmary at Leeds , Leeds LS1 3EX,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P M","family":"Sagar","sequence":"additional","affiliation":[{"name":"Department of Colon and Rectal Surgery, General Infirmary at Leeds , Leeds LS1 3EX,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2008,2,1]]},"reference":[{"key":"2024093006482762100_bib1","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1097\/00000658-193801000-00011","article-title":"Tumors ventral to the sacrum","volume":"107","author":"Whittaker","year":"1938","journal-title":"Ann Surg"},{"key":"2024093006482762100_bib2","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/s101510200008","article-title":"The management of presacral masses in the adult","volume":"6","author":"Wolpert","year":"2002","journal-title":"Tech Coloproctol"},{"key":"2024093006482762100_bib3","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/0002-9378(49)90375-0","article-title":"Extragenital pelvic tumors in women","volume":"58","author":"Lovelady","year":"1949","journal-title":"Am J Obstet Gynecol"},{"key":"2024093006482762100_bib4","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1007\/BF02553440","article-title":"Retrorectal tumors: Mayo Clinic experience, 1960\u20131979","volume":"28","author":"Jao","year":"1985","journal-title":"Dis Colon Rectum"},{"key":"2024093006482762100_bib5","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1007\/BF02587141","article-title":"Presacral tumors and cysts in adults","volume":"18","author":"Uhlig","year":"1975","journal-title":"Dis Colon Rectum"},{"key":"2024093006482762100_bib6","doi-asserted-by":"crossref","first-page":"1964","DOI":"10.1007\/s10350-005-0122-9","article-title":"Tumors of the retrorectal space","volume":"48","author":"Hobson","year":"2005","journal-title":"Dis Colon Rectum"},{"key":"2024093006482762100_bib7","first-page":"533","volume-title":"Surgery of the Colon and Rectum","author":"Dozois","year":"1997"},{"key":"2024093006482762100_bib8","first-page":"240","article-title":"Presacral teratoma in the adult","volume":"41","author":"Head","year":"1975","journal-title":"Am Surg"},{"key":"2024093006482762100_bib9","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1007\/BF02555492","article-title":"Parasacrococcygeal approach for the resection of retrorectal development cysts","volume":"28","author":"Abel","year":"1985","journal-title":"Dis Colon Rectum"},{"key":"2024093006482762100_bib10","first-page":"681","article-title":"Retrorectal tumors in adults","volume":"132","author":"Freier","year":"1971","journal-title":"Surg Gynecol Obstet"},{"key":"2024093006482762100_bib11","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1007\/BF02604308","article-title":"Malignant retrorectal tumors: 28 years' experience at Memorial Sloan-Kettering Cancer Center","volume":"24","author":"Cody","year":"1981","journal-title":"Dis Colon Rectum"},{"key":"2024093006482762100_bib12","doi-asserted-by":"crossref","first-page":"1581","DOI":"10.1007\/s10350-005-0048-2","article-title":"Retrorectal tumors: a diagnostic and therapeutic challenge","volume":"48","author":"Glasgow","year":"2005","journal-title":"Dis Colon Rectum"},{"key":"2024093006482762100_bib13","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1016\/S1072-7515(03)00133-9","article-title":"Retrorectal cyst: a rare tumor frequently misdiagnosed","volume":"196","author":"Singer","year":"2003","journal-title":"J Am Coll Surg"},{"key":"2024093006482762100_bib14","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1097\/00000658-198005000-00006","article-title":"Abdominosacral approach for retrorectal tumors","volume":"191","author":"Localio","year":"1980","journal-title":"Ann Surg"},{"key":"2024093006482762100_bib15","first-page":"357","article-title":"Neurological deficit after resection of the sacrum","volume":"82","author":"Biagini","year":"1997","journal-title":"Chir Organi Mov"},{"key":"2024093006482762100_bib16","first-page":"61","article-title":"Spinal\u2013pelvic fixation in patients with lumbosacral neoplasms","volume":"92","author":"Jackson","year":"2000","journal-title":"J Neurosurg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.5931","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/95\/2\/214\/59443253\/bjs5931.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/95\/2\/214\/59443253\/bjs5931.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T06:57:40Z","timestamp":1727679460000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/95\/2\/214\/6142669"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,1,14]]},"references-count":16,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2008,2,1]]},"published-print":{"date-parts":[[2008,1,14]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.5931","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2008,2]]},"published":{"date-parts":[[2008,1,14]]}}}