The significance of preoperative interventional treatment in the surgery of primary retroperitoneal neoplasm

doi:10.3969/j.issn.1674-3806.2014.08.05

Abstract：Objective To study the significance of preoperative interventional treatment of primary retroper-itoneal neoplasm in reducing bleeding , improving complete resection rate and reducing surgical-associated mortality . Methods Clinic data were analyzed on surgical cases of primary retroperitoneal neoplasm retrospectively from Octo -ber 2004 to December 2013 .Forty-eight cases were selected in this study , including 12 preoperative interventional treatment cases ( experimental group ) and 36 non-preoperative interventional treatment cases ( control group ) respec-tively.The clinical indexes included volume of bleeding , completed resection rate and surgical-associated mortality rate.Results In the experimental group , 10 cases were achieved completed tumor resection and 2 cases palliative tumor resection.There was no death in this group.The volume of bleeding was (1976.67 ±273.34 )ml.In the con-trol group, 18 cases were achieved completed resection , 18 cases palliative tumor resection .One case was died of large bleeding in the operation , and 2 cases died of MODS postoperatively .The volume of bleeding was (2597.22 ± 801.24) ml.In the experimental group, the volume of bleeding was less(P<0.05) and the complete resection rate was higher than that in the control group ( P<0.05 ) .There was no significant differences between two groups in sur-gical-associated mortality rate ( P>0.05 ) .Conclusion This results indicate that preoperative interventional treat-ment can reduce operative bleeding and improve complete resection rate for primary retroperitoneal neoplasm .Howev-er, preoperative interventional treatment does not seem to affect the surgical-associated mortality rate in these study .