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The intention of retroperitoneum surgery is to remove any tumors, cysts, or other infected or noncancerous growths from the retroperitoneal area (behind your abdomen) or to remove or repair bleeding from, and/or trauma to your kidneys or major blood vessels.
Before a retroperitoneal operation, patients typically undergo imaging studies, such as CT or MRI, to confirm the diagnosis, and blood tests are also performed to assess their health and to identify potential complications that may develop after surgery. A needle biopsy will be performed if it is necessary for diagnosis. A doctor's office examination will assess the patient's suitability for general anaesthesia.
Retroperitoneum surgery can be performed through traditional "open" surgical techniques or through a minimally invasive (laparoscopic) procedure. The retroperitoneal area is accessed during the surgery by opening a large incision. Once the retroperitoneal area is exposed, the surgeon will dissect through the surrounding tissue to access the diseased tissue. Any vital structures or organs will be protected during the surgical dissection and removed from the surgical area.
Depending upon the size and location of the affected tissue, surgery may take 2-5 hours.
Following surgery, patients with retroperitoneal surgery are typically observed in the hospital for several days for pain management and then return to their normal diet and daily activities as directed by the surgeon. The time to full recovery can range from 3 to 6 weeks. After this period, the surgeon will typically recommend regular follow-up appointments and/or rehabilitation as needed.
Success rates vary for retroperitoneal surgery; however, the most important factor in determining success is complete surgical removal of the tumour. The five-year survival rate for patients who undergo complete surgical removal of a retroperitoneal sarcoma is estimated at 65-80%. Patients who undergo partial surgical removal have a lower five-year survival rate.
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