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Abdominal wall desmoid tumors: A proposal for US-guided resection
Stefano Bolzon1, Alessio Vagliasindi1, Federico Zanzi1
1Department of General and Urgent Surgery, "Santa Maria delle Croci" Hospital, Viale Randi 5, 48121 Ravenna, Italy.
International Journal of Surgery Case Reports
|February 24, 2015
Summary
Ultrasound-guided surgery for desmoid tumors (DTs) offers a minimally invasive approach to abdominal wall reconstruction. This technique preserves tissue and reduces complications, leading to better patient outcomes and no observed recurrences in a one-year follow-up.
Area of Science:
- Oncology
- Surgical Techniques
- Medical Imaging
Background:
- Desmoid tumors (DTs) are benign but locally aggressive neoplasms with high recurrence rates.
- Standard surgical resection (R0) for abdominal DTs often necessitates extensive tissue removal, leading to large wall defects.
- Reconstruction of these defects is crucial to prevent incisional hernias and improve patient quality of life (QoL).
Purpose of the Study:
- To evaluate the efficacy and safety of ultrasound-guided surgery for abdominal wall desmoid tumor resection.
- To assess the technique's ability to spare healthy tissue and facilitate multilayer reconstruction.
- To determine the impact on oncological outcomes and postoperative complications.
Main Methods:
- Abdominal wall desmoid tumor resection performed using ultrasound guidance.
- Focus on sparing a wide area of the abdominal wall during resection.
- Multilayer reconstruction of the abdominal wall defect post-resection.
Main Results:
- Ultrasound-guided surgery enabled a radical approach while preserving significant abdominal wall tissue.
- Multilayer reconstruction minimized postoperative complications.
- No desmoid tumor recurrences were observed during the one-year follow-up period.
Conclusions:
- Ultrasound-guided resection is a promising technique for optimizing abdominal wall desmoid tumor surgery.
- This approach facilitates tissue preservation and multilayer reconstruction, reducing complications.
- The technique shows potential for improved oncological control and patient quality of life.
