Retroperitoneal liposarcoma was successfully removed at the P.A. Herzen Moscow State Medical Institute

In the Department of thoracoabdominal oncosurgery of the P.A. Herzen Moscow State Medical Institute – a branch of the Federal State Budgetary Institution “NMIC of Radiology” of the Ministry of Health of the Russian Federation, a complex operation was performed to remove a huge tumor with simultaneous autologous kidney transplantation. The surgical intervention was carried out by an interdisciplinary team under the leadership of the Director General of the FSBI “NMIC of Radiology” of the Ministry of Health of the Russian Federation, Academician of the Russian Academy of Sciences A.D. Kaprin.

A 47-year-old rural mail worker from the Orel region suspected something was wrong herself. In the summer of 2020, she felt a lump in the abdominal cavity and turned to a doctor at her place of residence. He urgently sent her to the regional oncological dispensary, where the patient underwent a CT scan of the abdominal cavity. The study showed the presence of a volumetric formation, which reached the size of 225x148x191mm. However, the biopsy did not establish the exact nature of the formation, and the Oryol specialists referred the patient for further examination and treatment at the P.A. Herzen Moscow State Medical Institute. Here, according to the results of the clarifying diagnosis, the patient was given an accurate diagnosis – liposarcoma – a malignant tumor of the retroperitoneal space.

Due to the huge size of the tumor, it not only interfered with the vital activity of neighboring organs, but also threatened the patient’s life. At an interdisciplinary consultation, it was decided to perform a surgical operation. The doctors had not just to remove a voluminous multi-node formation that spread from the diaphragm to the aortic bifurcation, at the level of 4 thoracic to 4 lumbar vertebrae, and pushing the spleen. In addition, the left renal pedicle (artery, vein, ureter) was involved in the tumor process with the displacement of the left kidney. The doctors had to perform several complex surgical manipulations, including the removal of the tumor itself, the left adrenal gland and the left kidney. Then it was necessary to clear the kidney of tumor masses, and transplant it back into the patient’s body. In addition, surgeons had to form a suspended enterostome for postoperative nutrition of the patient bypassing the stomach, so as not to provoke postoperative complications associated with injury to the pancreas. In total, the operation lasted 9 hours and was successful.

The operation was attended by: Director General of the FSBI “NMIC Radiology” of the Ministry of Health of the Russian Federation A.D. Kaprin, Deputy Director General for Surgery, MD A.B. Ryabov, Head of the transplantation and Renal Replacement Therapy group of the Lopatkin Research Institute of Urology, MD S.V. Arzumanov, attending physician, researcher of the thoracoabdominal department PhD A.V.Chaika, oncologist D.S. Kudashkina, a team of anesthesiologists led by the head of the Department of Anesthesiology and Resuscitation, MD V.E.Khoronenko, anesthesiologists E.L.Sugaipov, K.V.Usachev; operating nurse T.V.Sokolova.

Today, the patient feels well and is undergoing a course of rehabilitation therapy. We wish her speedy rehabilitation, and you, dear readers, health and attentive attitude to your health.

Press Service of the Federal State Budgetary Institution “NMIC of Radiology” of the Ministry of Health of Russia