TY - JOUR
T1 - Complete and safe resection of challenging retroperitoneal tumors
T2 - Anticipation of multi-organ and major vascular resection and use of adjunct procedures
AU - Tseng, William W.
AU - Wang, Sam C.
AU - Eichler, Charles M.
AU - Warren, Robert S.
AU - Nakakura, Eric K.
PY - 2011/11/4
Y1 - 2011/11/4
N2 - Background: Retroperitoneal tumors are often massive and can involve adjacent organs and/or vital structures, making them difficult to resect. Completeness of resection is within the surgeon's control and critical for long-term survival, particularly for malignant disease. Few studies directly address strategies for complete and safe resection of challenging retroperitoneal tumors.Methods: Fifty-six patients representing 63 cases of primary or recurrent retroperitoneal tumor resection between 2004-2009 were identified and a retrospective chart review was performed. Rates of complete resection, use of adjunct procedures, and perioperative complications were recorded.Results: In 95% of cases, complete resection was achieved. Fifty-eight percent of these cases required en bloc multi-organ resection, and 8% required major vascular resection. Complete resection rates were higher for primary versus recurrent disease. Adjunct procedures (ureteral stents, femoral nerve monitoring, posterior laminotomy, etc.) were used in 54% of cases. Major postoperative complications occurred in 16% of cases, and one patient died (2% mortality).Conclusions: Complete resection of challenging retroperitoneal tumors is feasible and can be done safely with important pre- and intraoperative considerations in mind.
AB - Background: Retroperitoneal tumors are often massive and can involve adjacent organs and/or vital structures, making them difficult to resect. Completeness of resection is within the surgeon's control and critical for long-term survival, particularly for malignant disease. Few studies directly address strategies for complete and safe resection of challenging retroperitoneal tumors.Methods: Fifty-six patients representing 63 cases of primary or recurrent retroperitoneal tumor resection between 2004-2009 were identified and a retrospective chart review was performed. Rates of complete resection, use of adjunct procedures, and perioperative complications were recorded.Results: In 95% of cases, complete resection was achieved. Fifty-eight percent of these cases required en bloc multi-organ resection, and 8% required major vascular resection. Complete resection rates were higher for primary versus recurrent disease. Adjunct procedures (ureteral stents, femoral nerve monitoring, posterior laminotomy, etc.) were used in 54% of cases. Major postoperative complications occurred in 16% of cases, and one patient died (2% mortality).Conclusions: Complete resection of challenging retroperitoneal tumors is feasible and can be done safely with important pre- and intraoperative considerations in mind.
KW - Adjunct procedures
KW - Multi-organ resection
KW - Retroperitoneal tumor
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U2 - 10.1186/1477-7819-9-143
DO - 10.1186/1477-7819-9-143
M3 - Article
C2 - 22054416
AN - SCOPUS:80355131513
SN - 1477-7819
VL - 9
JO - World Journal of Surgical Oncology
JF - World Journal of Surgical Oncology
M1 - 143
ER -