Surgical treatment of giant retroperitoneal masses : our experience.
The treatment of choice of retroperitoneal masses is complete surgical resection , however, are not yet encoded the dimensions and margins of a radical resection . The aim of the study was to evaluate the therapeutic efficacy of aggressive surgical treatment of retroperitoneal masses in view of the tendency to involve the kidney.
from January 2008 to January 2014 were operated in the UOC urology hospital in Lecce four patients suffering from massive retroperitoneal neoplasm . Two males and two females aged between 18 and 63 years with a mass of 17 and 32 cm . Mean operative time was 200 minutes. histological examination , two liposarcomas . a malignant mesenchymal neoplasm and an angiomyolipoma . postoperative hospital stay was 8.7 days with no post-operative complication .
The literature shows that the gold standard for the treatment of retroperitoneal tumors is a large resection chrurgica . The survival of patients with this type of cancer depends mainly on the initial radical surgery .
Our experience confirms that a wide surgical resection of retroperitoneal masses is the most appropriate choice in the treatment of this tumor type , ensuring not only the minimum risk of recurrence but no treatment