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Papers of the Week

2021 Dec 28

Int J Surg Case Rep


Robot-assisted ventral sacral Tarlov cystectomy; A case report.


Albayar A, Shao JM, Soriano IS, Welch WC
Int J Surg Case Rep. 2021 Dec 28; 90:106732.
PMID: 34998266.


Although asymptomatic Tarlov cysts (TCs) are reported in up to 13% of the population, symptomatic TCs are rare (less than 1%), making the management of the symptomatic cysts controversial. The most common location of symptomatic TCs is sacral nerve roots where they can cause pelvic, perineal chronic discomfort and pain, and lower extremity sensory and motor changes. Ventral (intrapelvic retroperitoneal) sacral TCs are extremely rare with no management recommendations. Available surgical options include cyst resection, and inlet-obliteration, however, these methods are often considered invasive and not definitive.