Posterior One Stage Surgery in Huge Sacrococcygeal Teratoma. Local Experience in Sohag University

Background: Sacrococcygeal teratoma (SCT) is the most common solid neoplasm of newborns and still its surgical techniques for total excision are controversial. Objective: The evaluation of the one stage surgical excision. Patients and Methods: Eight patients with large sacrococcygeal teratoma presented to Sohag University hospital in the period between 2009 and 2012 with an age ranged from 34-42 weeks and the sex distribution showed 6 females and 2 males. All cases were examined clinically preoperative for the size of the teratoma (ranged from 8*10cm to 20*30cm), the neurological status (all patients were neurologically intact), and presence of other congenital anomalies. Lumbosacral MRI was done for all cases preoperatively. One stage operation (Cheveron incision) was done for complete excision of the teratoma and sent for histopathological analysis. Postoperative assessment for the neurological function and imaging study was done. Results: After complete surgical excision of the teratoma assessment of the neurological state was done and there were no cases of lower limb weakness. Two patients appeared to have urinary problems one with urinary straining and the other had urinary incontinence. Only one patient experienced chronic constipation. No patients developed fecal incontinence. No patients experienced recurrence within the period of follow up(form 3 months to 3 years). Conclusion: One stage surgical excision for large SCT can be done safely with low morbidity and good outcome and need experience and more practice for better results.