Abstract
Retroperitoneal pelvic lipomas are rarely found. Resections via open abdominal have been advocated traditionally as the preferred treatment for these tumors. The laparoscopic surgical technique provides direct visualization of the retroperitoneal space. The authors report on a 82-year-old man who experienced difficulty in defecation off and recently he had suffered pain in the lower abdomen. The abdominal computed tomography scan revealed a 6×5.5cm, homogeneous, low-density, well-defined mass arising from the prerectal space bordering the seminal vesicle and prostate. It is suspected as benign lipoma. Laparoscopically guided resection was applied, with a favorable outcome, and histopathologically diagnosed as a lipoma. This procedure represents a less invasive approach with low complication that may be useful for benign retroperitoneal pelvic tumors.
