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Aprroach to retroperitoneal tumors: Surgery; as a cornerstone in treatment for overall survey

Mehmet Ilhan, MD, Recep Erçin Sönmez, MD, Ibrahim Azamat, MD, Ali Fuat Kaan Gök, MD, Hakan Teoman Yanar, MD, Kayihan Günay, MD, Recep Güloglu, MD, Cemalettin Ertekin, MD. Istanbul University, Istanbul Medical Faculty, Department of General Surgery

OBJECTIVE: To put forward the importance of complete (R0) resection for the treatment of retroperitoneal tumors increasing overall survey.

METHODS: In this study; 30 patients having the diagnosis of retroperitoneal tumors with different histopathological subtypes whom were  hospitalized in Emergency Surgery Department of Istanbul Medical Faculty  between the years of 2009 and 2017 were evaluated retrospectively. The database of the department was analyzed. Operational backgrounds, histopathological results, radiological evaluations, and assesments about relapses, and overall survey were obtained from the medical archieve.

RESULTS: The average follow-up time was 2,5 years. All of the patients included into the study were undergone operations. The average time of hospital stay was calculated as 15 days. 4 of the patients were found to have positive surgical margins in their histopathological evaluations. Overall mortality rate of the study was 20% (6/30). We have observed a direct correlation between complete (R0) resection and disease-free survival. Patients having relapses had worse prognosis in terms of overall survey (44% mortality rate). After having done the statistical evaluation, surgery was found to be the main determining factor for the assesment of overall survey.

CONCLUSION: Reference to an experienced and multidisciplinary surgical center after an early diagnosis has upmost importance for the treatment of retroperitoneal tumors. Surgical approach constitutes the main element in the management. Overall survey is directly correlated with complete (R0) resection.   


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 86914

Program Number: P827

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

41

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