Retroperitoneal Sarcoma Surgeries

Sarcomas, occurring in retroperitoneal space (retroperitoneal sarcomas), are relatively uncommon malignant tumors, composed predominantly of connective tissue, fat or muscle cells, and located in the abdominal posterior wall.

The main types of sarcoma that occur in the retroperitoneum

  • Liposarcoma – cancer of the fatty tissues
  • Leiomyosarcoma – cancer of the involuntary muscle

Less common types of sarcoma in the retroperitoneum include solitary fibrous tumor, pleomorphic sarcoma, malignant nerve sheath tumor, synovial sarcoma and Ewing’s sarcoma.

This disease most commonly occurs among people in their 50s; however, it can occur at any age, affecting men and women alike.

In most cases, these tumors are detected at an advanced stage, when the symptoms have already begun to manifest.  Consequently, by the time the tumors are detected, they may have become quite large, and other abdominal tissues may have already been affected. Possible symptoms include abdominal pain, abdominal rigidity, back pain, swelling of lower limbs, intestinal obstruction, and an early feeling of satiation.

There are different treatment options for this disease including surgery, radiation therapy, and chemotherapy.

Surgical Treatment

Surgery is the option with the best possibility of a full recovery, assuming the tumor can be completely removed, however this may not always be possible as the tumor may have spread to nearby organs and tissues.

Pancreatic Surgeries - Ichilov

The aim of the surgery is to remove the tumor completely. In many cases, the tissues of the nearby organs need to be removed as well if the tumor has spread to them. The tumor may have already spread to the bowels, kidneys, adrenal glands, pancreas, liver, spleen, stomach, and diaphragm.

The main criterion for evaluating the potential efficacy of sarcoma surgeries is the ability to remove the tumor with “clear margins,” i.e. when the pathomorphological microscopic study reveals that the resection margin is clear of cancer cells.

A “clear margin” can be achieved in 85% of patients. A considerable number of patients have successful treatment outcomes. Consequently, the 5-year survival rate for this type of disease is in excess of 50%.

Surgery is performed under general anesthesia. The duration of the surgical procedure depends on the size and location of the tumor, and the involvement of the nearby organs and tissues.

The location and size of the incision depends on the actual tumor location. A surgical incision can be made in the center of the abdomen, in the pelvic, or lower back area. It can also involve the lower chest if the tumor is located in the upper abdomen.

Risk Factors

Surgical risk factors include infections, bleeding, and damage to peripheral nerves and nearby organs.  If the tumor recurs, repeated surgery may be required.  The mortality rate for this type of surgery is about 1%. Other potential complications depend on the specific site of the surgery and the need for resection of the affected organs.

Following the Surgery

The length of stay at the hospital after the surgery depends on the extent of the surgical intervention and the individual patient.
After discharge from the Surgical Oncology Unit , each post-hospital care plan is developed specifically for the patient. In some cases, additional post-operative radiation therapy may be required. The aim of the radiation therapy is to minimize the risk of the tumor recurring.

Following discharge, patients are advised to avoid any strenuous physical activity for about two weeks. Patients return to the hospital for a follow-up visit to remove the stitches/staples usually one week after surgery. It is very important that the patient tell the doctor about any new health issues or concerns which they may have had after the surgery, as well as their general well-being during any consultations.

FAQ

It is normal to feel unsure about going abroad to get medical treatment in a foreign country. Knowledge is the key for your peace of mind! Therefore we encourage you to research and get as much info as possible about the hospital, the staff and the treatment that is available. At Tel Aviv Sourasky Medical Center, we will be more than happy to answer all your questions and provide you with all the necessary info so you can make a sound decision. Our vast experience and track record of success is our way to make you feel comfortable. Please feel free to contact our Medical Tourism Center directly on +972-3-697-3426 to discuss your concerns and we will do our best to answer all your questions.
We are a department within the Medical Center. All the stuff and members are employees of the Medical Center. We are not an agent. When you deal with us, you deal directly with the Medical center. Therefore, there are no extra fees or commissions on top of the price of treatments.
Tel Aviv is centrally located, an easy plane flight from Europe, Asia, Africa, and the U.S. Convenient flights are available from major cities throughout the world from a broad spectrum of airlines. Just 20 minutes from Israel's Ben Gurion International Airport, the Tel Aviv Sourasky Medical Center is located in the heart of Tel Aviv, Israel's most vibrant metropolis and the center of the country's finance, commerce, arts, culture, and entertainment activities. The Medical Center is just a several-minute drive from the beautiful, relaxing beaches of the Mediterranean Sea. Tel Aviv is blessed with a comfortable climate: short, mild winters with plenty of pleasant, sunny days, delightful spring and fall seasons, and a constantly sunny summer from June through October. Tel Aviv is a cosmopolitan city that offers so much to tourists and residents alike. With a wide array of accommodation options—from luxurious to low-budget hotels—Tel Aviv is an extremely friendly city for visitors seeking medical treatment. This European-style city offers an excellent public transportation system. There are highly accessible convenience supermarkets and coffee shops—usually open 24 hours a day—within walking distance of the Tel Aviv Sourasky Medical Center. There is an abundance of shopping, ranging from clothing boutiques and artisan crafts to art galleries and leading international brand shops.
Given the outstanding level of quality care, Tel Aviv Sourasky Medical Center’s fees are surprisingly reasonable. In most instances, treatment at the Medical Center, including medical fees and travel expenses, are considerably lower than comparable medical facilities in the US or Europe. The cost of treatment varies significantly, depending upon the type of treatment and its complexity. Please contact our Medical Tourism Center to provide the details of your required treatment and we will be happy to provide you a price quote

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