Surgical management of 143 patients with adult primary retroperitoneal tumor

被引:22
作者
Xu, Yuan-Hong [1 ]
Guo, Ke-Jian [1 ]
Guo, Ren-Xuan [1 ]
Ge, Chun-Lin [1 ]
Tian, Yu-Lin [1 ]
He, San-Guang [1 ]
机构
[1] China Med Univ, Affiliated Hosp 1, Dept Gen Surg, Shenyang 110001, Liaoning, Peoples R China
关键词
retroperitoneal neoplasms; surgical procedure; operative; recurrence;
D O I
10.3748/wjg.v13.i18.2619
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
AIM: To analyze the surgical management of adult primary retroperitoneal tumors (APRT) and the factors influencing the outcome after operation. METHODS: Data of 143 cases of APRT from 1990 to 2003 in the First Affiliated Hospital of China Medical University were evaluated retrospectively. RESULTS: A total of 143 cases of APRT were treated surgically. Among them, 122 (85.3%) underwent complete resection, 16 (11.2%) incomplete resection, and 3 (3%) surgical biopsies. Twenty-nine (20.2%) underwent tumor resection plus multiple organ resections. Ninety-five malignant cases were followed up for 1 mo to 5 years. The 1-year, 3-year, and 5-year survival rates of the patients subject to complete resection was 94.9%, 76.6% and 34.3% and that of patients with incomplete resection was 80.4%, 6.7%, and 0%, respectively (P < 0.001). The Cox multi-various regression analysis showed the completeness of tumor, sex and histological type were associated closely with local recurrence. CONCLUSION: Sufficient preoperative preparation and complete tumor resection play important roles in reducing recurrence and improving survival. (C) 2007 The WJG Press. All rights reserved.
引用
收藏
页码:2619 / 2621
页数:3
相关论文
共 10 条
[1]  
Bautista N, 2000, AM SURGEON, V66, P832
[2]   Primary and recurrent retroperitoneal soft tissue sarcoma: Prognostic factors affecting survival [J].
Chiappa, A ;
Zbar, AP ;
Bertani, E ;
Biffi, R ;
Luca, F ;
Crotti, C ;
Testori, A ;
Lazzaro, G ;
De Pas, T ;
Ugo, P ;
Andreoni, B .
JOURNAL OF SURGICAL ONCOLOGY, 2006, 93 (06) :456-463
[3]   Prognostic factors associated with long-term survival for retroperitoneal sarcoma: Implications for management [J].
Heslin, MJ ;
Lewis, JJ ;
Nadler, E ;
Newman, E ;
Woodruff, JM ;
Casper, ES ;
Leung, D ;
Brennan, MF .
JOURNAL OF CLINICAL ONCOLOGY, 1997, 15 (08) :2832-2839
[4]   Surgical management of primary and recurrent retroperitoneal liposarcoma [J].
Neuhaus, SJ ;
Barry, P ;
Clark, MA ;
Hayes, AJ ;
Fisher, C ;
Thomas, JM .
BRITISH JOURNAL OF SURGERY, 2005, 92 (02) :246-252
[5]  
OUYANG XH, 1996, ZHONGGUO PUTONG WAIK, V5, P327
[6]   Clinical results of surgery for retroperitoneal sarcoma with major blood vessel involvement [J].
Schwarzbach, Matthias H. M. ;
Hormann, Yura ;
Hinz, Ulf ;
Leowardi, Christine ;
Boeckler, Dittmar ;
Mechtersheimer, Gunhild ;
Friess, Helmut ;
Buechler, Markus W. ;
Allenberg, Jens-R. .
JOURNAL OF VASCULAR SURGERY, 2006, 44 (01) :46-55
[7]  
Scibe R., 1999, Annali Italiani di Chirurgia, V70, P731
[8]  
Scibe R, 1999, ANN ITAL CHIR, V70, P736
[9]   Completely resected recurrent soft tissue sarcoma: Primary anatomic site governs outcomes [J].
Stojadinovic, A ;
Yeh, A ;
Brennan, MF .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2002, 194 (04) :436-447
[10]   Response to neoadjuvant chemotherapy combined with regional hyperthermia predicts long-term survival for adult patients with retroperitoneal and visceral high-risk soft tissue sarcomas [J].
Wendtner, CM ;
Abdel-Rahman, S ;
Krych, M ;
Baumert, J ;
Lindner, LH ;
Baur, A ;
Hiddemann, W ;
Issels, RD .
JOURNAL OF CLINICAL ONCOLOGY, 2002, 20 (14) :3156-3164