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Sarcoma

Surgery at non-sarcoma center linked with incomplete resection, worse outcomes

Posted on June 6, 2022

Surgical expertise is an important factor in the outcome of resection in patients with retroperitoneal sarcoma (RPS), according to a study.

This study analyzed the outcomes of 35 patients with RPS treated at a single center, of which 23 received their primary resection at a sarcoma center and 12 in a non-sarcoma center. The median tumor size was 24 cm.

Midline laparotomy was performed in 31 patients. The remaining 4 patients had flank incisions and were all operated on in a non-sarcoma center. No patient operated on at a non-sarcoma center received a multivisceral resection.

In patients undergoing treatment at a non-sarcoma center, more incomplete resections were observed, and patients experienced significantly worse recurrence-free survival and disease-free survival after R0/1 resection.

Reference
Aeschbacher P, Kollár A, Candinas D, et al. The Role of Surgical Expertise and Surgical Access in Retroperitoneal Sarcoma Resection – A Retrospective Study. Front Surg. 2022;9:883210. doi: 10.3389/fsurg.2022.883210. PMID: 35647004; PMCID: PMC9133808.

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