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SURGICAL TREATMENT OF RETROPERITONEAL TUMORS

SURGICAL TREATMENT OF RETROPERITONEAL TUMORS Abstract WE HAVE been interested in retroperitoneal tumors for a considerable length of time. In 1946 one of our former colleagues, Dr. B. A. Donnelly,1 reported an extensive series from the University Hospitals, comprising 95 patients observed in a 20-year period. Review of the material at the University Hospitals subsequent to Dr. Donnelly's report reveals some 32 cases in which an unequivocal diagnosis of primary retroperitoneal tumor can be made, excluding those of known adrenal, renal, and pancreatic origin and sacrococcygeal teratomata. It would appear, therefore, that in the University Hospitals patient population the incidence remains relatively constant. How does a surgeon attempt to approach a retroperitoneal tumor with a reasonable chance for complete extirpation of the lesion at lowest risk to the patient? Early in the course of the operative approach histologic studies should be performed by use of frozen sections. We believe that open preliminary biopsy can be References 1. Donnelly, B. A.: Primary Retroperitoneal Tumors , Surg., Gynec. & Obst. 83:705-717 ( (Dec.) ) 1946. 2. Nelson, O. A.: Arteriography in Renal and Abdominal Conditions , J. Urol. 53:521-533 ( (April) ) 1945. 3. Burhans, R. A.: Perirenal Air Insufflation: An Aid in Urological Diagnosis , J. Urol. 44:618-634 ( (Nov.) ) 1940. 4. Poth, E. J.; Fromm, S. M.; Martin, R. G., and Hsiang, C. M.: Neomycin; An Adjunct in Abdominal Surgery , South. M. J. 44:226-230 ( (March) ) 1951. 5. Cullen, S. C.: Endotracheal Intubation , Anesthesia in General Practice , Ed. 3, Chicago, Year Book Publishers, Inc., 1951, pp. 73-81. 6. McMaster, P. D., and Parsons, R. J.: Physiologic Conditions Existing in Connective Tissue: Method of Interstitial Spread of Vital Dyes , J. Exper. Med. 69:247-264 ( (Feb.) ) 1939. 7. Tidrick, R. T.; Seegers, W. H., and Warner, E. D.: Clinical Experience with Thrombin as an Hemostatic Agent , Surgery 14:191-196 ( (Aug.) ) 1943. 8. Light, R. U., and Prentice, H. R.: Gelatin Sponge: Surgical Investigation of a New Matrix Used in Conjunction with Thrombin in Hemostasis , Arch. Surg. 51:69-77 ( (Sept.) ) 1945. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

SURGICAL TREATMENT OF RETROPERITONEAL TUMORS

A.M.A. Archives Surgery , Volume 70 (2) – Feb 1, 1955

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Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1955.01270080049008
Publisher site
See Article on Publisher Site

Abstract

Abstract WE HAVE been interested in retroperitoneal tumors for a considerable length of time. In 1946 one of our former colleagues, Dr. B. A. Donnelly,1 reported an extensive series from the University Hospitals, comprising 95 patients observed in a 20-year period. Review of the material at the University Hospitals subsequent to Dr. Donnelly's report reveals some 32 cases in which an unequivocal diagnosis of primary retroperitoneal tumor can be made, excluding those of known adrenal, renal, and pancreatic origin and sacrococcygeal teratomata. It would appear, therefore, that in the University Hospitals patient population the incidence remains relatively constant. How does a surgeon attempt to approach a retroperitoneal tumor with a reasonable chance for complete extirpation of the lesion at lowest risk to the patient? Early in the course of the operative approach histologic studies should be performed by use of frozen sections. We believe that open preliminary biopsy can be References 1. Donnelly, B. A.: Primary Retroperitoneal Tumors , Surg., Gynec. & Obst. 83:705-717 ( (Dec.) ) 1946. 2. Nelson, O. A.: Arteriography in Renal and Abdominal Conditions , J. Urol. 53:521-533 ( (April) ) 1945. 3. Burhans, R. A.: Perirenal Air Insufflation: An Aid in Urological Diagnosis , J. Urol. 44:618-634 ( (Nov.) ) 1940. 4. Poth, E. J.; Fromm, S. M.; Martin, R. G., and Hsiang, C. M.: Neomycin; An Adjunct in Abdominal Surgery , South. M. J. 44:226-230 ( (March) ) 1951. 5. Cullen, S. C.: Endotracheal Intubation , Anesthesia in General Practice , Ed. 3, Chicago, Year Book Publishers, Inc., 1951, pp. 73-81. 6. McMaster, P. D., and Parsons, R. J.: Physiologic Conditions Existing in Connective Tissue: Method of Interstitial Spread of Vital Dyes , J. Exper. Med. 69:247-264 ( (Feb.) ) 1939. 7. Tidrick, R. T.; Seegers, W. H., and Warner, E. D.: Clinical Experience with Thrombin as an Hemostatic Agent , Surgery 14:191-196 ( (Aug.) ) 1943. 8. Light, R. U., and Prentice, H. R.: Gelatin Sponge: Surgical Investigation of a New Matrix Used in Conjunction with Thrombin in Hemostasis , Arch. Surg. 51:69-77 ( (Sept.) ) 1945.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Feb 1, 1955

References