Perioperative Management of Patients with Retroperitoneal Tumors
In addition to the inaccessibility of the retroperitoneal region, retroperitoneal tumors (RPTs) present no or non-specific symptoms until they have grown to a substantial size and invaded many adjacent organs. As a result, the removal of RPTs is quite complex. A good clinical outcome depends on not only superb surgical technique but also comprehensively perioperative management. There are very few reports on the perioperative management for patients with RPTs in international literatures, and in-depth understanding of its importance is required for surgeons. The perioperative management of RPTs involves multidisciplinary knowledge on circulation, respiration, digestion, urinary system, nerves, and blood vessels, due to the prolonged operation time, more blood loss, frequent blood transfusion, major surgical trauma, and multiple organ resection; thus, only a multidisciplinary team with comprehensive knowledge can help patients smoothly pass through the perioperative period.