Resection of a Huge Fourth-Recurrence Retroperitoneal Liposarcoma

Abstract

Resection of retroperitoneal liposarcomas continues to be a challenge for the surgeon, in particular given their large size and involvement of vital organs. We present our experience about the resection of huge fourth-recurrence retroperitoneal liposarcomas, this dumbbell-shaped mass occupied portovena-caval gap, encapsulated the portal vein and was closed attached to inferior vena cava. It was almost impossible to push the whole mass to any side for en block resection because both left and right part of this mass all reached 20 cm. So we decided to firstly resect the right part of dumbbell-shaped mass, dissect the link part from behind the portal vein, followed by pushing it to the left side and then resect together with the left part. This method made the complete resection easier and safer, of which avoid the occurrence of uncontrollable massive hemorrhage.




J Med Cases. 2012;3(4):257-260
doi: https://doi.org/10.4021/jmc630e