Total Laparoscopic Excision of a Large Tailgut Cyst

Tailgut cysts are rare congenital cysts that develop from the embryological remnants of the gut. They are usually found in the retrorectal space. In most of the cases, they are asymptomatic. The treatment of choice for tailgut cysts is complete surgical excision and both open and laparoscopic approaches have been described in the literature. The laparoscopic approach provides better visualization of pelvic structures and results in better post-operative outcomes when compared to the open approach. However, it can be challenging in cases with large tailgut cysts. We present a case of a female patient with a large tailgut cyst who underwent total laparoscopic excision.