Surgical strategy for primary retroperitoneal giant tumor not crossing the midline

VernacularTitle:不跨越中线的腹膜后巨大肿瘤的手术策略
Author: Yanhui GU ¹ ; Guangsen HAN ; Shijia ZHANG ; Mingke HUO ; Yuzhou ZHAO ; Jian LI ; Pengfei MA ; Yanghui CAO
Author Information

1. 450000,河南省肿瘤医院(郑州大学附属肿瘤医院)普外科
Keywords: Retroperitoneal neoplasms; Perioperative period; Surgical procedures,operative
From: Chinese Journal of General Surgery 2017;32(11):911-913
CountryChina
Language:Chinese
Abstract: Objective To explore the surgical approach of retroperitoneal giant tumors not crossing the midline.Methods We retrospectively analyzed the clinical data of 60 cases of resected giant retroperitoneal tumors (diameter ＞ 10 cm) totally located one-sided of the obdominal cavity from September 2010 to May 2016 in Henan Cancer Hospital.Results Fifty-nine patients underwent successful resection of the tumor,the average operation time was (110 ± 13) min,with an average bleeding volume of (635 ± 22) ml.One patient died of postoperative intra abdominal bleeding.32 cases died during the follow-up for tumor recurrence.The median survival time was 63 months,and the survival rates of the patients at 1,3,and 5 years were 96％,80％,and 54％.Conclusion For large retroperitoneal tumors within one side of the midline,appropriate surgical approach and surgical strategy can reduce the operation time and improve the operation safety.