Review of surgical treatment for primary retroperitoneal tumors

Timerbulatov M. V., Senderovich E. I., Irnazarov F. R., Grishina E. E., Aitova L. R., Ziganshin T. M.

Primary Retroperitoneal Tumors are found in 0.03-1.1% of all neoplasms, more than half of them are malignant, in 50% of cases within 12-18 months after radical surgical treatment, a relapse occurs. Most often, these tumors are found in young and middle-aged women. To determine the tactics of treatment and the choice of the type of surgical intervention, it is necessary to conduct a preliminary study with obligatory histological examination. A minimally invasive method for the treatment of primary retroperitoneal tumors can reduce the duration of hospitalization and pain period in the most cases Mini-invasive approaches when removing the primary retroperitoneal tumors are associated with less trauma to the patient, a shorter pain period, faster recovery, and a short hospitalization period. However, a serious obstacle for laparoscopic or robotic-assisted tumor removal is late diagnosis, when the size of the tumor does not allow the operation through the mini-access. For successful treatment with a mini-invasive approach, it is necessary to diagnose a tumor up to 7-10 cm in size; nowadays, such tumors are most often diagnosed for the first time when they reach 20 cm.

Keywords:primary retroperitoneal tumors, retroperitoneal tumors, laparoscopic surgery, Robot-assisted surgery, surgery treatment, transperitoneal approach, retroperitoneal approach