Complete and safe resection of challenging retroperitoneal tumors: Anticipation of multi-organ and major vascular resection and use of adjunct procedures

William W. Tseng, Sam C. Wang, Charles M. Eichler, Robert S. Warren, Eric K. Nakakura

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

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.

Original languageEnglish (US)
Article number143
JournalWorld Journal of Surgical Oncology
Volume9
DOIs
StatePublished - Nov 4 2011

Keywords

  • Adjunct procedures
  • Multi-organ resection
  • Retroperitoneal tumor

ASJC Scopus subject areas

  • Surgery
  • Oncology

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