Rapid Communication
Copyright ©2007 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. May 14, 2007; 13(18): 2619-2621
Published online May 14, 2007. doi: 10.3748/wjg.v13.i18.2619
Surgical management of 143 patients with adult primary retroperitoneal tumor
Yuan-Hong Xu, Ke-Jian Guo, Ren-Xuan Guo, Chun-Lin Ge, Yu-Lin Tian, San-Guang He
Yuan-Hong Xu, Ke-Jian Guo, Ren-Xuan Guo, Chun-Lin Ge, Yu-Lin Tian, San-Guang He, Department of General Surgery, The First Affiliated Hospital of China Medical University, Shenyang 110001, Liaoning Province, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Yuan-Hong Xu, Department of General Surgery, The First Affiliated Hospital of China Medical University, 155 North Nanjing Street, Heping District, Shenyang 110001, Liaoning Province, China. xu_yuanhong@yahoo.com
Telephone: +86-24-83283330 Fax: +86-24-25118399
Received: January 8, 2007
Revised: January 10, 2007
Accepted: January 31, 2007
Published online: May 14, 2007
Abstract

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.

Keywords: Retroperitoneal neoplasms; Surgical procedure; Operative; Recurrence