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Technical Considerations in Surgery for Retroperitoneal Sarcomas: Position Paper from E-Surge, a Master Class in Sarcoma Surgery, and EORTC–STBSG

  • Bone and Soft Tissue Sarcomas
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

Surgery is the principal treatment for retroperitoneal sarcoma. These tumors typically involve or abut multiple organs and therefore require multivisceral resections. Despite the complexity of such operations, a standardized approach has not been described. As a result, referral centers often see patients who have undergone suboptimal surgery, with gross disease left behind. This is one of the causes of the dismal prognosis of this disease.

Methods

These consensus statements came out from E-Surge, an educational symposium with live sarcoma surgery, performed by European and North American expert sarcoma surgeons illustrating an optimal technique to an international audience, held in 2010 and 2011. The content was then shared among members of the local subcommittee of European Organization for Research and Treatment of Cancer (EORTC)–Soft Tissue and Bone Sarcoma Group (STBSG).

Results

An attempt to describe a reproducible and standardized approach to these tumors is illustrated. A detailed description of the different procedures according to the variety of different presentations is made.

Conclusions

The approach described herein should be used as the reference standard in clinical practice and serve to perform quality check of local treatment in future trials.

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Authors and Affiliations

  1. Department of Surgery, Institut Gustave Roussy, Villejuif, France

    Syvie Bonvalot MD, PhD

  2. Department of Surgery, Brigham and Women’s Hospital, Center for Sarcoma and Bone Oncology, Dana-Farber Cancer Institute, and Harvard Medical School, Boston, MA, USA

    Chandrajit P. Raut MD, MSc

  3. Division of Surgery, Department of Surgical Oncology, University of Texas M. D. Anderson Cancer Center, Houston, TX, USA

    Raphael E. Pollock MD, PhD

  4. Department of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland

    Piotr Rutkowski MD

  5. Sarcoma Unit, Royal Marsden Hospital, London, UK

    Dirk C. Strauss MD & Andrew J. Hayes MD

  6. Department of Surgical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands

    Frits Van Coevorden MD

  7. Department of Surgery, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy

    Marco Fiore MD & Alessandro Gronchi MD

  8. Department of Surgery, Institut Bergonie, Bordeaux, France

    Eberhard Stoeckle MD

  9. Division of Surgical Oncology and Thoracic Surgery, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany

    Peter Hohenberger MD, PhD

Authors
  1. Syvie Bonvalot MD, PhD
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  2. Chandrajit P. Raut MD, MSc
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  3. Raphael E. Pollock MD, PhD
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  4. Piotr Rutkowski MD
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  5. Dirk C. Strauss MD
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  6. Andrew J. Hayes MD
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  7. Frits Van Coevorden MD
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  8. Marco Fiore MD
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  9. Eberhard Stoeckle MD
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  10. Peter Hohenberger MD, PhD
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  11. Alessandro Gronchi MD
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Corresponding authors

Correspondence to Syvie Bonvalot MD, PhD or Alessandro Gronchi MD.

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Bonvalot, S., Raut, C.P., Pollock, R.E. et al. Technical Considerations in Surgery for Retroperitoneal Sarcomas: Position Paper from E-Surge, a Master Class in Sarcoma Surgery, and EORTC–STBSG. Ann Surg Oncol 19, 2981–2991 (2012). https://doi.org/10.1245/s10434-012-2342-2

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  • DOI: https://doi.org/10.1245/s10434-012-2342-2

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