The Discussion of Treatment of Retroperitoneal Tumors Infiltrating Celiac Trunk_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 MIAOCheng-li ¹ , ZENGJia ¹ , CHENJian-fei ² , CHENWei-da ¹ , MEIShi-wen ¹ , HEYuan-xiang ¹ ,  LUOCheng-hua ¹

1. Department of Retroperitoneal Tumors Surgery, Peking University International Hospital, Beijing 102206, China;
2. Department of Hepatobiliary Surgery, Peking University International Hospital, Beijing 102206, China;

Corresponding?author：

LUOCheng-hua, Email: luochenghua@pkuih.edu.cn

Keywords：

Retroperitoneal tumors; Celiac trunk; Complications

DOI：

10.7507/1007-9424.20160077

Video：

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Objective To discuss the treatment of retroperitoneal tumors infiltrating celiac trunk. Method Fifteen cases of retroperitoneal tumors who underwent surgery in our hospital between December 2014 to December 2015 were reviewed and analyzed. Results All of the 15 cases had underwent operation, and the blood loss was 300-2200 mL (mean of 600 mL), operation time was 125-600 minutes (mean of 240 minutes). Length of stay in cases of celiac trunk resected was 10-23 days (mean of 15.1 days), and length of stay in cases of celiac trunk nonresected was 15-132 days (mean of 35.2 days). Thirty cases of them were complete resection, and 2 cases were mostly resection. Eight cases of them did not injure celiac trunk, 1 case suffered from complication, 7 cases injured celiac trunk and all of them suffered from complication. There were significant statistical difference in incidence of complications (χ²=8.14, P=0.01) in cases of celiac trunk injury or not. All the cases were followed up for 3-13 months (mean of 6.3 months), 2 cases recurred during the follow-up period, 1 case was leiomyosarcoma, and another 1 was malignant fibrous histiocytoma who underwent celiac trunk resection. Conclusions When retroperitoneal tumors infiltrates celiac trunk, we can resect the celiac trunk, but we must follow a certain principle.

Citation： MIAOCheng-li, ZENGJia, CHENJian-fei, CHENWei-da, MEIShi-wen, HEYuan-xiang, LUOCheng-hua. The Discussion of Treatment of Retroperitoneal Tumors Infiltrating Celiac Trunk. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(3): 278-281. doi: 10.7507/1007-9424.20160077 Copy

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4.	楊健, 文天夫. 腹腔干結扎可行性臨床研究進展. 中國普外基礎與臨床雜志, 2006, 13(3): 362-364, 368.
5.	李堅, 戴存才, 蔣奎榮, 等. 聯合腹腔干切除的擴大胰體尾切除術4例報告. 南京醫科大學學報: 自然科學版, 2014, 34(4): 534-536.
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10.	龍子雯, 徐宇, 劉曉文, 等. 原發性腹膜后腫瘤200例診治分析. 中國實用外科雜志, 2013, 33(2): 127-129.
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13.	Huang Y, Mu GC, Qin XG, et al. Study of celiac artery variations and related surgical techniques in gastric cancer. World J Gastroenterol, 2015, 21(22): 6944-6951.
14.	Zagyapan R, Kürk?üo?lu A, Bayraktar A, et al. Anatomic variations of the celiac trunk and hepatic arterial system with digital subtractionangiography. Turk J Gastroenterol, 2014, 25 Suppl 1: 104-109.
15.	Katz-Summercorn A, Bridger J. A cadaveric study of the anatomical variation of the origins of the celiac trunk and the superior mesen-teric artery: a role in median arcuate ligament syndrome?. Clin Anat, 2013, 26(8): 971-974.
16.	Akan D, Ozel A, Orhan O, et al. Doppler ultrasound diagnosis of an unusual variant of median arcuate ligament syndrome: concomitant involvement of celiac and superior mesenteric arteries. A case report. Med Ultrason, 2015, 17(4): 557-560.
17.	Sylvan J, Brier C, Wolski K, et al. Impact of alterations in target vessel curvature on branch durability after endovascular repair of thoracoabdominal aortic aneurysms. J Vasc Surg, 2015. [Epub ahead of print].
18.	Song Y, Xiao Q, Liu Q. Isolated spontaneous celiac artery dissection. P R Health Sci J, 2015, 34(3): 174.
19.	Rosenthal MG, Cunningham J, Habib J, et al. Isolated celiac artery dissection in blunt abdominal trauma. Am Surg, 2015, 81(7): E287-E290.
20.	Patschan D, Müller GA. Acute kidney injury. J Inj Violence Res, 2015, 7(1): 19-26.
21.	Liu Y, Sun Y, Jiang Y, et al. A novel strategy of vascular reconstruc-tion after radical resection of an inferior vena cava leiomyosarcoma. Ann Vasc Surg, 2013, 27(6): 803.e1-803.e5.
22.	Li B, Luo CH, Zheng W. Risk factors for recurrence and survival in patients with primary retroperitoneal tumors. J BUON, 2013, 18(3): 782-787.
23.	Clark MA, Fisher C, Judson I, et al. Soft-tissue sarcomas in adults. N Engl J Med, 2005, 353(7): 701-711.
24.	González W, Altieri PI, Alvarado E, et al. Celiac trunk and branches dissection due to energy drink consumption and heavy resistance exercise: case report and review of literature. Bol Asoc Med P R, 2015, 107(1): 38-40.
25.	Perini P, Baque J, Chau Y, et al. Percutaneous embolization of symptomatic dissecting aneurysms of the celiac artery. Acta Radiol, 2014, 55(9): 1076-1081.
26.	Engstr?m K, Bergh P, Gustafson P, et al. Liposarcoma: outcome based on the Scandinavian Sarcoma Group register. Cancer, 2008, 113(7): 1649-1656.

1. 羅成華. 腹膜后腫瘤. 北京: 人民衛生出版社, 2013: 1-3.
2. 苗成利, 何遠翔, 李玉坤, 等. 腹膜后腫瘤臨床病理特征與診治分析. 腫瘤防治研究, 2015, 42(8): 797-800.
3. Panagouli E, Venieratos D, Lolis E, et al. Variations in the anatomy of the celiac trunk: a systematic review and clinical implications. Ann Anat, 2013, 195(6): 501-511.
4. 楊健, 文天夫. 腹腔干結扎可行性臨床研究進展. 中國普外基礎與臨床雜志, 2006, 13(3): 362-364, 368.
5. 李堅, 戴存才, 蔣奎榮, 等. 聯合腹腔干切除的擴大胰體尾切除術4例報告. 南京醫科大學學報: 自然科學版, 2014, 34(4): 534-536.
6. Czihal M, Banafsche R, Hoffmann U, et al. Vascular compression syndromes. Vasa, 2015, 44(6): 419-434.
7. Salloum C, Lim C, Fuentes L, et al. Fusion of information from 3D printing and surgical robot: an innovative minimally technique illustrated by the resection of a large celiac trunk aneurysm. World J Surg, 2016, 40(1): 245-247.
8. Tsutsumi Y, Kunieda Y, Yamauchi J, et al. A case of hemosuccus pancreaticus caused by rupture of an aneurysm of the splenic artery. Nihon Shokakibyo Gakkai Zasshi, 2013, 110(7): 1296-1303.
9. 姚捷, 柏斗勝, 蔣國慶, 等. 聯合腹腔干、肝總動脈切除的胰體尾癌擴大根治術一例報道及文獻復習. 中國現代手術學雜志, 2013, 17(4): 260-263.
10. 龍子雯, 徐宇, 劉曉文, 等. 原發性腹膜后腫瘤200例診治分析. 中國實用外科雜志, 2013, 33(2): 127-129.
11. Jiang H, Wang YX, Li B, et al. Surgical management of leiomysar-coma of the inferior vena cava. Vascular, 2015, 23(3): 329-332.
12. Araujo Neto SA, Franca HA, de Mello Júnior CF, et al. Anatomical variations of the celiac trunk and hepatic arterial system: an analysis using multidetector computed tomography angiography. Radiol Bras, 2015, 48(6): 358-362.
13. Huang Y, Mu GC, Qin XG, et al. Study of celiac artery variations and related surgical techniques in gastric cancer. World J Gastroenterol, 2015, 21(22): 6944-6951.
14. Zagyapan R, Kürk?üo?lu A, Bayraktar A, et al. Anatomic variations of the celiac trunk and hepatic arterial system with digital subtractionangiography. Turk J Gastroenterol, 2014, 25 Suppl 1: 104-109.
15. Katz-Summercorn A, Bridger J. A cadaveric study of the anatomical variation of the origins of the celiac trunk and the superior mesen-teric artery: a role in median arcuate ligament syndrome?. Clin Anat, 2013, 26(8): 971-974.
16. Akan D, Ozel A, Orhan O, et al. Doppler ultrasound diagnosis of an unusual variant of median arcuate ligament syndrome: concomitant involvement of celiac and superior mesenteric arteries. A case report. Med Ultrason, 2015, 17(4): 557-560.
17. Sylvan J, Brier C, Wolski K, et al. Impact of alterations in target vessel curvature on branch durability after endovascular repair of thoracoabdominal aortic aneurysms. J Vasc Surg, 2015. [Epub ahead of print].
18. Song Y, Xiao Q, Liu Q. Isolated spontaneous celiac artery dissection. P R Health Sci J, 2015, 34(3): 174.
19. Rosenthal MG, Cunningham J, Habib J, et al. Isolated celiac artery dissection in blunt abdominal trauma. Am Surg, 2015, 81(7): E287-E290.
20. Patschan D, Müller GA. Acute kidney injury. J Inj Violence Res, 2015, 7(1): 19-26.
21. Liu Y, Sun Y, Jiang Y, et al. A novel strategy of vascular reconstruc-tion after radical resection of an inferior vena cava leiomyosarcoma. Ann Vasc Surg, 2013, 27(6): 803.e1-803.e5.
22. Li B, Luo CH, Zheng W. Risk factors for recurrence and survival in patients with primary retroperitoneal tumors. J BUON, 2013, 18(3): 782-787.
23. Clark MA, Fisher C, Judson I, et al. Soft-tissue sarcomas in adults. N Engl J Med, 2005, 353(7): 701-711.
24. González W, Altieri PI, Alvarado E, et al. Celiac trunk and branches dissection due to energy drink consumption and heavy resistance exercise: case report and review of literature. Bol Asoc Med P R, 2015, 107(1): 38-40.
25. Perini P, Baque J, Chau Y, et al. Percutaneous embolization of symptomatic dissecting aneurysms of the celiac artery. Acta Radiol, 2014, 55(9): 1076-1081.
26. Engstr?m K, Bergh P, Gustafson P, et al. Liposarcoma: outcome based on the Scandinavian Sarcoma Group register. Cancer, 2008, 113(7): 1649-1656.

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