Carlos E. Martínez-Jaramillo, Cirugía General y Cirugía y endoscopia colorrectal, Hospital Militar Central, Servicio de Coloproctología, Bogotá, Colombia
Heinz O. Ibáñez, Cirugía General y Cirugía y endoscopia colorrectal, Hospital Militar Central, Servicio de Coloproctología, Bogotá, Colombia
Nairo J. Senejoa-Núñez, Cirugía General y Cirugía y endoscopia colorrectal, Hospital Militar Central, Servicio de Coloproctología, Bogotá, Colombia
Nicolás Betancur-García, Cirugía General y Cirugía y endoscopia colorrectal, Instituto de Colon y Recto del Eje Cafetero, Pereira, Colombia
Juan C. Arboleda-Mera, Cirugía General, Fellow en Cirugía y endoscopia colorrectal, Universidad Militar Nueva Granada, Hospital Militar Central, Servicio de Coloproctología, Bogotá, Colombia
Eliana C. Cortés, Cirugía General, Fellow en Cirugía y endoscopia colorrectal, Universidad Militar Nueva Granada, Hospital Militar Central, Servicio de Coloproctología, Bogotá, Colombia
Sergio C. Ayala, Cirugía General, Fellow en Cirugía y endoscopia colorrectal, Universidad Militar Nueva Granada, Hospital Militar Central, Servicio de Coloproctología, Bogotá, Colombia
Ada M. Bustos-Guerrero, Cirugía General, Fellow en Cirugía y endoscopia colorrectal, Universidad Militar Nueva Granada, Hospital Militar Central, Servicio de Coloproctología, Bogotá, Colombia
Objective: To describe the institutional experience accumulated over 30 years in the diagnosis, surgical approach, and clinical outcomes of patients with presacral tumors, through a retrospective analysis of epidemiological, clinical, radiological, histopathological, and postoperative outcome characteristics. Methods: Multicenter, retrospective study of patients diagnosed with presacral tumors treated between January 1989 and December 2024. A descriptive analysis of clinical, diagnostic, therapeutic, and outcome variables was performed. Results: Sixteen patients were analyzed, with an average age of 49 years; 63.2% were women. The median duration of symptoms was 8 months, with pain being the most frequent clinical manifestation (64.2%). The average tumor size was 95.8 mm, and retrorectal location predominated in 87.5% of cases. The most commonly used surgical approach was posterior (75%). The most frequent diagnoses were epidermoid or dermoid cysts (31.6%). Morbidity-free and mortality-free survival at 30 days was 100%. Conclusions: Presacral tumors are rare entities with nonspecific clinical manifestations. Magnetic resonance imaging is the key tool for their anatomical characterization and surgical planning. A multidisciplinary approach remains essential to optimize clinical and oncological outcomes.
Keywords: Presacral tumor. Retrorectal tumor. Posterior approach.