Surgery for primary malignant tumors of the abdominal wall: experiences of three African surgical oncology units and review of the literature.
World J Surg Oncol
; 21(1): 235, 2023 Jul 31.
Article
in En
| MEDLINE
| ID: mdl-37525223
ABSTRACT
BACKGROUND AND OBJECTIVES:
Tumors of the abdominal wall are uncommon but diverse. The surgical challenge is double. The tumor must be completely removed and the abdominal wall repaired. Our aim was to describe the indications, techniques, and results of surgery on these tumors in an African context.METHODS:
Retrospective, multicentric and descriptive study conducted in three West African surgical oncology units. We included all abdominal wall tumors followed up between January 2010 and October 2022. Histological type, size, surgical procedure, and method of abdominal wall repair were considered. Survival was calculated using the Kaplan-Meier method and comparisons of proportions were made using the Student t test.RESULTS:
We registered 62 tumors of the abdominal wall and we operated on 41 (66.1%). The mean size of the tumors was 14.3 ± 26 cm. Dermatofibrosarcoma and desmoid tumor were present in 33 and 3 cases respectively. In 31.7% of cases in addition to the tumour, the resections carried away the muscular aponeurotic plane. Parietal resections required the use of a two-sided prosthesis in 6 cases. In 13 cases, we used skin flaps. The resections margins were invaded in 5 cases and revision surgery was performed in all of them. Incisional hernia was noticed in 2 cases. The tumor recurrence rate was 12.2% with an average time of 13 months until occurrence. Overall survival at 3 years was 80%.CONCLUSIONS:
Surgery is the mainstay of treatment for abdominal wall tumors. It must combine tumor resections and parietal repair. Cancer surgeons need to be trained in abdominal wall repair.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Peritoneal Neoplasms
/
Abdominal Wall
/
Surgical Oncology
/
Hernia, Ventral
Type of study:
Clinical_trials
/
Observational_studies
Limits:
Humans
Language:
En
Journal:
World J Surg Oncol
Year:
2023
Document type:
Article
Affiliation country: