Surgical management of primary retroperitoneal sarcoma

• DOI: 10.1002/bjs.6994
• Publication Date: 2010-03-20T23:34:03Z
• Authors: D C Strauss; A J Hayes; K Thway; E C Moskovic; C Fisher; J M Thomas
• Keywords: Demographics; Surgical resection; Localized disease

Abstract Background Local recurrence after surgical resection is the main cause of disease-related mortality in patients with primary retroperitoneal sarcoma (RPS). This study analysed predictors local and disease-specific survival. Methods A prospective database was reviewed to identify who underwent surgery for RPS between 1990 2009. Patient demographics, operative outcomes tumour variables were correlated Multivariable analysis performed evaluate disease-free Results Macroscopic clearance achieved 170 200 patients. The median weight tumours 4·0 kg maximum diameter 27 cm. Resection adjacent organs required 126 postoperative rate 3·0 per cent. Seventy-five developed during follow-up. At 5 years recurrence-free survival 54·6 cent 68·6 Inability obtain macroscopic at high-grade significant Conclusion Complete excision should be goal resection. Ability resect a completely grade are most important overall