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VOLUME 2 , ISSUE 2 ( May-August, 2009 ) > List of Articles

RESEARCH ARTICLE

Laparoscopic Management of Retroperitoneal Masses: Our Experience and Literature Review

Matvey Tsivian, A Ami Sidi, Alexander Tsivian

Citation Information : Tsivian M, Sidi AA, Tsivian A. Laparoscopic Management of Retroperitoneal Masses: Our Experience and Literature Review. World J Lap Surg 2009; 2 (2):1-5.

DOI: 10.5005/jp-journals-10007-1015

Published Online: 01-08-2009

Copyright Statement:  Copyright © 2009; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

Retroperitoneal growths often require surgical exploration for diagnostic and/or therapeutic purposes. Here in, we present our experience in laparoscopic management of retroperitoneal masses and review the literature to assess the feasibility of a minimally invasive approach in this setting.

Method

In the last 4 years 8 consecutive patients, aged 46 to 73 years, underwent laparoscopic surgery for isolated retroperitoneal masses at our institution. Medical records were reviewed collecting data regarding clinical presentation, dimensions of the finding, pathology, whether a preoperative biopsy was performed and its results, procedure performed (excision versus incisional biopsy), operative times, est

Results

All procedures were successfully completed laparoscopically with no conversions. Mean operative time was 131 minutes. Blood loss was 0-200 mL and blood transfusions were not required. One bowel injury was repaired intraoperatively; postoperative course was uneventful in all cases. Hospital stay ranged from 2 to 7 days. Final pathology was local recurrence of Renal cell carcinoma in 3 cases, 1 lymphoma, 1 sarcoma, 1 schwannoma and 2 retroperitoneal cysts. With an average follow-up of over 2 years there are no recurrences.

Conclusion

Laparoscopic approach is a feasible approach in selected patients with retroperitoneal masses. In our experience, laparoscopy offers a viable and oncologically radical option with excellent results and low morbidity. This minimally invasive approach is likely to become more common practice as the experience grows and new technologies become available.


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