Cytoreductive surgery for giant locally advanced intra-abdominal tumors in Uganda

Author:

Okello Michael12ORCID,Nuwagaba Julius23,Ddungu Henry4,Okuku Fred Machyo4

Affiliation:

1. Department of Anatomy, Makerere University College of Health Sciences, Kampala, Uganda

2. Department of Surgery, Lubaga Hospital, Kampala, Uganda

3. Department of Global Health Security, Makerere University Infectious Disease Institute, Kampala, Uganda

4. Uganda Cancer Institute, Kampala, Uganda

Abstract

Abstract Cytoreductive surgery is removal of tumor as much as possible when complete resection is impossible because of advanced disease. It is a management option for giant intra-abdominal tumors with pressure symptoms. We present three patients who underwent cytoreductive surgery for giant intra-abdominal tumors between May 2019 and November 2021. Patient 1 had a gastrointestinal stromal tumor (GIST) involving stomach, spleen and transverse colon. En bloc resection of the GIST with the involved viscera was done. Patient 2 had a liposarcoma measuring 25.8 × 19.6 × 15.3 cm infiltrating the stomach, spleen and the left hemidiaphragm. Involved viscera and liposarcoma were resected en bloc. Patient 3 had a liposarcoma measuring 40 × 35 × 12 cm and encasing the left ureter. Mass was excised together with part of the left ureter and left ureter reconstructed. Giant intra-abdominal tumors are rare. Involvement of adjacent structures may necessitate multivisceral resections with or without organ reconstruction.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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