Abstract

HERRERA GOMEZ, Ángel; ORTEGA GUTIERREZ, César; LUNA-ORTIZ, Kuauhyama  and  DE LEON ZARAGOZA, Luis. Arterial resection of large vessels due to a residual germinal retroperitoneal tumor: Three cases. Cir. gen [online]. 2011, vol.33, n.2, pp.127-131. ISSN 1405-0099.

Objective: To demonstrate the feasibility, morbidity, and therapeutic benefit of the resection of large vessels' residual tumor. Setting: National Institute of Cancerology, Mexico. Design: Case report. Methods: We reviewed case histories from 2004 to 2008 during which 58 patients were susceptible to retroperitoneal lymphadenectomy after treatment with chemotherapy due to germinal non-seminomatous tumors. Three patients were candidates for resection and reconstruction of large vessels by means of a polytetrafluorethylene (PTFE) prosthesis. Results: Mean age was of 28.5 years at the time of diagnosis. The mean average size of the tumor was of 5.75 cm. Average transoperative bleeding amounted to 500 ml. Follow-up was of 27 months after the vascular replacement. One patient died 3 days after surgery due to renal failure. Conclusion: Aortic replacement in retroperitoneal tumors after chemotherapy should be performed in selected cases to obtain an actual benefit in survival, and it is possible to perform with low morbidity and mortality in specialized medical centers.

Keywords : Testicular neoplasms; lymphatic ganglia dissection; aorta.

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