A Surgical Approach Decision-Making for Benign Presacral Tumors in Adult Women: A Case Series

Abstract Background: The incidence of benign presacral tumor is relatively low in adults and is much higher in women than in men. However, by far, there is no standard surgical approach for women. The study hope to propose a reasonable surgical approach decision strategy exclusively for adult women, which is feasible for removing tumors in different sizes and different locations. Methods: 4 adult female patients with benign presacral tumor were admitted to our department for surgical treatment over these 5 years. Their tumors were removed by transvaginal, laparoscopic, and combined laparoscopic-vaginal surgery respectively. Results: The operations were all carried out successfully. Patients who have undergone repeated examinations in the follow-up after surgery have no tumor recurrence. Conclusion: A reasonable surgical approach decision-making is beneficial to the surgical procedure and post-operation recovery. Transvaginal approach is an uncommon but important approach for benign presacral tumors in adult female.