학술논문

Cytoreductive surgery for giant locally advanced intra-abdominal tumors in Uganda.
Document Type
Case Study
Source
Journal of Surgical Case Reports. May2022, Vol. 2022 Issue 5, p1-4. 4p.
Subject
*CYTOREDUCTIVE surgery
*GIANT cell tumors
*GASTROINTESTINAL stromal tumors
*DESMOID tumors
*INTRA-abdominal pressure
*TUMORS
*LIPOSARCOMA
Language
ISSN
2042-8812
Abstract
Cytoreductive surgery is removal of tumor as much as possible when complete resection is impossible because of advanced disease. It is a management option for giant intra-abdominal tumors with pressure symptoms. We present three patients who underwent cytoreductive surgery for giant intra-abdominal tumors between May 2019 and November 2021. Patient 1 had a gastrointestinal stromal tumor (GIST) involving stomach, spleen and transverse colon. En bloc resection of the GIST with the involved viscera was done. Patient 2 had a liposarcoma measuring 25.8 × 19.6 × 15.3 cm infiltrating the stomach, spleen and the left hemidiaphragm. Involved viscera and liposarcoma were resected en bloc. Patient 3 had a liposarcoma measuring 40 × 35 × 12 cm and encasing the left ureter. Mass was excised together with part of the left ureter and left ureter reconstructed. Giant intra-abdominal tumors are rare. Involvement of adjacent structures may necessitate multivisceral resections with or without organ reconstruction. [ABSTRACT FROM AUTHOR]