J Min Access Surg Close
 

Figure 1: Details of laparoscopic resection of a large retrorectal developmental cyst. (a) Dissection proceeds downwards along the retrorectal plane to reveal the cyst (white arrow). Prevent injuring the adjacent structures (black arrow, mesorectum; white arrow heads, inferior hypogastric nerve). (b) Dissect along the true capsule by incising the pseudo-capsules. (c) Meticulously identify the rectal wall (black asterisk signs) to prevent inadvertent injury. (d) After the attachment to the levator ani (White asterisk signs) is severed, the caudal end of the cyst is dissected off the ischiorectal fossa

Figure 1: Details of laparoscopic resection of a large retrorectal developmental cyst. (a) Dissection proceeds downwards along the retrorectal plane to reveal the cyst (white arrow). Prevent injuring the adjacent structures (black arrow, mesorectum; white arrow heads, inferior hypogastric nerve). (b) Dissect along the true capsule by incising the pseudo-capsules. (c) Meticulously identify the rectal wall (black asterisk signs) to prevent inadvertent injury. (d) After the attachment to the levator ani (White asterisk signs) is severed, the caudal end of the cyst is dissected off the ischiorectal fossa