Laparoscopic Resection of Primary Retroperitoneal Tumors: A 10-Year Experience of Single-Center_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHANGZhi-peng ,  XIUDian-rong , FUWei , YUANChun-hui , MAChao-lai , JIANGBin , LILei

Department of General Surgery, Peking University Third Hospital, Beijing 100191, China;

Corresponding author：

XIUDian-rong, Email: xiudianrong@medmail.com.cn

Keywords：

Primary retroperitoneal tumors; Laparoscopy; Effect

DOI：

10.7507/1007-9424.20160075

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the safety and feasibility of laparoscopic resection of primary retroperitoneal tumors. Method Clinical data of 52 patients diagnosed as primary retroperitoneal tumor who underwent laparoscopic resection in Peking University Third Hospital from January 2006 to December 2015 were retrospectively collected and analyzed. Results Fifty two patients were included in the review. In 21 patients (40.3%), tumors were adjacent to major vessels (such as inferior vena cava, superior mesenteric vein, and the splenic vessel), tumors of 31 patients (59.7%) were away from major vessles. Two operations (3.8%) were converted to hand-assistant and 2 operations (3.8%) were converted to laparotomy due to tight adherence to major vessels. The mean value of operative time was 171.4-minute (60-520 minutes) and the mean value of length of incision was 2.8 cm (1-15 cm), the mean value of estimated blood loss was 86.4 mL (10-1 150 mL), 2 patients needed blood transfusion. The mean value of time of returning to diets was 1.5-day (1-5 days) and the mean value of length of postoperative hospital stay was 4.9-day (1-16 days). There was no major postoperative complications or death. Follow up was available for 47 patients at a median time of 62.0-month (4-120 months). Three patients with retroperitoneal liposarcomas experienced recurrence at 31, 34, and 48 months after operation, 1 patient with mucinous peripheral neurilemmoma experience recurrence at 69 months after operation, all of which underwent further resection, with others experiencing no recurrence or metastasis. Three patients died in reason of other diseases. Conclusions Laparoscopic surgery can be performed safely in the treatment of primary retroperitoneal tumors, even when a tumor adjacent to major vascular structures.

Citation： ZHANGZhi-peng, XIUDian-rong, FUWei, YUANChun-hui, MAChao-lai, JIANGBin, LILei. Laparoscopic Resection of Primary Retroperitoneal Tumors: A 10-Year Experience of Single-Center. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(3): 270-273. doi: 10.7507/1007-9424.20160075 Copy

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2.	Yoshida T, Inoue T, Nishida T, et al. Laparoscopic excision of a retroperitoneal ganglioneuroma: a case report. Hinyokika Kiyo, 2014, 60(6): 279-282.
3.	Zhang Z, Xiu D. Laparoscopic surgery for primary retroperitoneal tumors: a single institution experience of 14 cases. Surg Laparosc Endosc Percutan Tech, 2010, 20(6): 399-403.
4.	阿合提别克·塔布斯, 杨孙虎, 阿不都斯木·艾沙, 等. 原发性腹膜后肿瘤腹腔镜手术治疗体会(附12例报道). 中国普外基础与临床杂志, 2014, 21(11): 1439-1441.
5.	Tewari M. Laparoscopic pancreatic resections for cancer: pushing the boundaries. Indian J Surg, 2015, 77(5): 428-432.
6.	Iserte PP, Minig L, Zorrero C. Laparoscopic extraperitoneal para-aortic lymphadenectomy. Ecancermedicalscience, 2015, 9: 573.
7.	Economopoulos KP, Martinou E, Hakimian S, et al. An overview of laparoscopic techniques in abdominal aortic aneurysm repair. J Vasc Surg, 2013, 58(2): 512-520.
8.	葛莉, 闵凯, 龚昭. 腹腔镜在原发性腹膜后肿瘤切除术中的临床应用. 中华疝和腹壁外科杂志: 电子版, 2014, 8(3): 225-226.
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10.	Ahn KS, Han HS, Yoon YS, et al. Laparoscopic resection of nonad-renal retroperitoneal tumors. Arch Surg, 2011, 146(2): 162-167.
11.	Xu W, Li H, Ji Z, et al. Comparison of retroperitoneoscopic versus transperitoneoscopic resection of retroperitoneal paraganglioma: a control study of 74 cases at a single institution. Medicine (Baltimore), 2015, 94(7): e538.
12.	Lee SE, Oh HC, Park YG, et al. Laparoscopic excision of primary retroperitoneal mucinous cystadenoma and malignant predicting factors derived from literature review. Int J Surg Case Rep, 2015, 9: 130-133.
13.	Alimoglu O, Caliskan M, Acar A, et al. Laparoscopic excision of a retroperitoneal ganglioneuroma. JSLS, 2012, 16(4): 668-670.
14.	Crăciun CC, Azamfirei L, Coroş MF, et al. Anterior transperitoneal laparoscopic approach of retroperitoneal tumour-clinical case. Chirurgia (Bucur), 2014, 109(5): 689-692.
15.	Rud O, May M, Brookman-Amissah S, et al. Retroperitoneal bron-chogenic cyst treated by laparoscopic surgery. Chirurg, 2010, 81(3): 243-246.
16.	Li Q, Gao C, Juzi JT, et al. Analysis of 82 cases of retroperitoneal schwannoma. ANZ J Surg, 2007, 77(4): 237-240.
17.	Kang CM, Kim DH, Seok JY, et al. Laparoscopic resection of retro-peritoneal benign schwannoma. J Laparoendosc Adv Surg Tech A, 2008, 18(3): 411-416.
18.	Nishino M, Hayakawa K, Minami M, et al. Primary retroperitoneal neoplasms: CT and MR imaging findings with anatomic and pathologic diagnostic clues. Radiographics, 2003, 23(1): 45-57.
19.	Yang DM, Jung DH, Kim H, et al. Retroperitoneal cystic masses: CT, clinical, and pathologic findings and literature review. Radiogra-phics, 2004, 24(5): 1353-1365.
20.	Thomas DM, O'Sullivan B, Gronchi A. Current concepts and future perspectives in retroperitoneal soft-tissue sarcoma management. Expert Rev Anticancer Ther, 2009, 9(8): 1145-1157.
21.	Gronchi A, Lo Vullo S, Fiore M, et al. Aggressive surgical policies in a retrospectively reviewed single-institution case series of retroperi-toneal soft tissue sarcoma patients. J Clin Oncol, 2009, 27(1): 24-30.
22.	Dalpiaz O, Gidaro S, Lipsky K, et al. Case report: laparoscopic removal of 10-cm retroperitoneal liposarcoma. J Endourol, 2007, 21(1): 83-84.
23.	Nomura R, Tokumura H, Matsumura N. Laparoscopic resection of a retroperitoneal liposarcoma: a case report and review of the literature. Int Surg, 2013, 98(3): 219-222.
24.	Shiau JP, Wu CT, Chin CC, et al. Long-term survival after hand-assisted laparoscopic approach of primary retroperitoneal mucinous cystadenocarcinoma in male: case report and review of literature. Eur Surg, 2013, 45(2): 106-109.
25.	Rosa F, Fiorillo C, Tortorelli AP, et al. Surgical management of retroperitoneal soft tissue sarcomas: role of curative resection. Am Surg, 2016, 82(2): 128-133.

1. Schwarzbach MH, Hohenberger P. Current concepts in the manage-ment of retroperitoneal soft tissue sarcoma. Recent Results Cancer Res, 2009, 179: 301-319.
2. Yoshida T, Inoue T, Nishida T, et al. Laparoscopic excision of a retroperitoneal ganglioneuroma: a case report. Hinyokika Kiyo, 2014, 60(6): 279-282.
3. Zhang Z, Xiu D. Laparoscopic surgery for primary retroperitoneal tumors: a single institution experience of 14 cases. Surg Laparosc Endosc Percutan Tech, 2010, 20(6): 399-403.
4. 阿合提别克·塔布斯, 杨孙虎, 阿不都斯木·艾沙, 等. 原发性腹膜后肿瘤腹腔镜手术治疗体会(附12例报道). 中国普外基础与临床杂志, 2014, 21(11): 1439-1441.
5. Tewari M. Laparoscopic pancreatic resections for cancer: pushing the boundaries. Indian J Surg, 2015, 77(5): 428-432.
6. Iserte PP, Minig L, Zorrero C. Laparoscopic extraperitoneal para-aortic lymphadenectomy. Ecancermedicalscience, 2015, 9: 573.
7. Economopoulos KP, Martinou E, Hakimian S, et al. An overview of laparoscopic techniques in abdominal aortic aneurysm repair. J Vasc Surg, 2013, 58(2): 512-520.
8. 葛莉, 闵凯, 龚昭. 腹腔镜在原发性腹膜后肿瘤切除术中的临床应用. 中华疝和腹壁外科杂志: 电子版, 2014, 8(3): 225-226.
9. Wu JM, Montgomery E. Classification and pathology. Surg Clin North Am, 2008, 88(3): 483-520.
10. Ahn KS, Han HS, Yoon YS, et al. Laparoscopic resection of nonad-renal retroperitoneal tumors. Arch Surg, 2011, 146(2): 162-167.
11. Xu W, Li H, Ji Z, et al. Comparison of retroperitoneoscopic versus transperitoneoscopic resection of retroperitoneal paraganglioma: a control study of 74 cases at a single institution. Medicine (Baltimore), 2015, 94(7): e538.
12. Lee SE, Oh HC, Park YG, et al. Laparoscopic excision of primary retroperitoneal mucinous cystadenoma and malignant predicting factors derived from literature review. Int J Surg Case Rep, 2015, 9: 130-133.
13. Alimoglu O, Caliskan M, Acar A, et al. Laparoscopic excision of a retroperitoneal ganglioneuroma. JSLS, 2012, 16(4): 668-670.
14. Crăciun CC, Azamfirei L, Coroş MF, et al. Anterior transperitoneal laparoscopic approach of retroperitoneal tumour-clinical case. Chirurgia (Bucur), 2014, 109(5): 689-692.
15. Rud O, May M, Brookman-Amissah S, et al. Retroperitoneal bron-chogenic cyst treated by laparoscopic surgery. Chirurg, 2010, 81(3): 243-246.
16. Li Q, Gao C, Juzi JT, et al. Analysis of 82 cases of retroperitoneal schwannoma. ANZ J Surg, 2007, 77(4): 237-240.
17. Kang CM, Kim DH, Seok JY, et al. Laparoscopic resection of retro-peritoneal benign schwannoma. J Laparoendosc Adv Surg Tech A, 2008, 18(3): 411-416.
18. Nishino M, Hayakawa K, Minami M, et al. Primary retroperitoneal neoplasms: CT and MR imaging findings with anatomic and pathologic diagnostic clues. Radiographics, 2003, 23(1): 45-57.
19. Yang DM, Jung DH, Kim H, et al. Retroperitoneal cystic masses: CT, clinical, and pathologic findings and literature review. Radiogra-phics, 2004, 24(5): 1353-1365.
20. Thomas DM, O'Sullivan B, Gronchi A. Current concepts and future perspectives in retroperitoneal soft-tissue sarcoma management. Expert Rev Anticancer Ther, 2009, 9(8): 1145-1157.
21. Gronchi A, Lo Vullo S, Fiore M, et al. Aggressive surgical policies in a retrospectively reviewed single-institution case series of retroperi-toneal soft tissue sarcoma patients. J Clin Oncol, 2009, 27(1): 24-30.
22. Dalpiaz O, Gidaro S, Lipsky K, et al. Case report: laparoscopic removal of 10-cm retroperitoneal liposarcoma. J Endourol, 2007, 21(1): 83-84.
23. Nomura R, Tokumura H, Matsumura N. Laparoscopic resection of a retroperitoneal liposarcoma: a case report and review of the literature. Int Surg, 2013, 98(3): 219-222.
24. Shiau JP, Wu CT, Chin CC, et al. Long-term survival after hand-assisted laparoscopic approach of primary retroperitoneal mucinous cystadenocarcinoma in male: case report and review of literature. Eur Surg, 2013, 45(2): 106-109.
25. Rosa F, Fiorillo C, Tortorelli AP, et al. Surgical management of retroperitoneal soft tissue sarcomas: role of curative resection. Am Surg, 2016, 82(2): 128-133.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Laparoscopic Resection of Primary Retroperitoneal Tumors: A 10-Year Experience of Single-Center

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