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Background: To analyze the anatomical partitioning of the retroperitoneal space and determine the distribution patterns of primary retroperitoneal neurogenic tumors (PRNTs).
Methods: Retrospectively analyze the clinical data and CT data of 401 patients with single-injection PRNT confirmed by surgical pathology, including 103 cases of neuroendocrine origin, 148 cases of neuroectodermal origin, and 150 cases of peripheral nerve origin. The retroperitoneal space was divided into the anterior pararenal space, posterior pararenal space, perirenal space, and great vessel space. The anatomical location of each PRNT was determined using axial CT images, and distribution patterns of PRNTs with different pathological properties were analyzed.
Results: There were statistically significant differences in the distribution of benign and malignant PRNTs (p < 0.01), PRNTs from different tissues (p < 0.01), and PRNTs of different pathological types (p < 0.01) in different anatomical divisions. The occurrence of PRNTs varied significantly by age group, with statistically significant differences across pathological types (p < 0.01).
Conclusion: The anatomical distribution of PRNT could provide an effective imaging basis for the diagnosis and differential diagnosis of PRNT, aiding in more accurate clinical assessment and treatment planning.
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http://dx.doi.org/10.1186/s12885-025-14706-8 | DOI Listing |
Am Surg
September 2025
Department of Surgery, Washington University in St Louis, St Louis, MO, USA.
The care of patients with necrotizing pancreatitis is a complex problem for the general, acute care, minimally invasive, and hepatopancreatobiliary surgeon. In this brief report, we present a case series of 2 patients with fulminant retroperitoneal necrosis recently treated at our center using a novel robotic-assisted retroperitoneal necrosectomy and debridement (RAND) following failure of the step-up approach. This approach maximizes access to the retroperitoneum and allows improved visualization and dexterity in the challenging retroperitoneal space while maintaining minimally invasive surgical principles.
View Article and Find Full Text PDFArkh Patol
September 2025
Perm Regional Clinical Hospital, Perm, Russia.
Malakoplakia is a rare chronic inflammatory disease that mainly affects the genitourinary system. A case of malakoplakia in the retroperitoneal space in a 53-year-old female patient with abdominal pain syndrome is presented. According to the results of computed tomography and magnetic resonance imaging of the abdominal organs and retroperitoneal space, the changes were assessed as nonspecific.
View Article and Find Full Text PDFJ Robot Surg
September 2025
Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
The aim of our study is to compare and assess the correlation of preoperative factors, intraoperative events and post-operative outcomes of robot assisted transperitoneal (RATP) and robot assisted retroperitoneal (RARP) partial nephrectomy (PN) in T1 renal cancer. Data from 2609 patients during the period of 10 years who underwent either RATP or RARP partial nephrectomies was retrospectively analyzed. We compared preoperative factors (age, BMI, tumour size/stage, PADUA score, preoperative eGFR, history of previous abdominal and ipsilateral surgery), intraoperative events: operative time (OT), warm ischemia time (WIT), estimated blood loss (EBL), and post-operative outcomes: complications, eGFR, positive surgical margins (PSM), and death due to disease (DOD) or due to other causes (DOC) and survival rates.
View Article and Find Full Text PDFJ Minim Invasive Gynecol
August 2025
Department of Gynecology and Obstetrics (Pr. Chauleur), North Hospital, Saint-Etienne University, Saint Priest en Jarez, France.
Objective: The aim of this video is to demonstrate the feasibility and added value of using a single-port robot-assisted approach for para-aortic lymphadenectomy.
Design: Stepwise demonstration of the technique with narrated video footage.
Setting: This intervention was realised in Gynecology and Obstetrics Department, Saint-Etienne University Hospital Center.
JBJS Case Connect
July 2025
Spine Unit, Department of Orthopedic Surgery, Hospital Universitario La Paz, Madrid, Spain.
Case: A 57-year-old woman with lumbar scoliosis underwent L4-S1 anterior lumbar interbody fusion by retroperitoneal approach. A computed tomography scan performed on postoperative day seven showed a retroperitoneal fluid collection (15 × 10 × 19 cm). After excluding haemorrhagic, urinary, infectious, lymphatic and cerebrospinal origin, it was diagnosed as a transudate.
View Article and Find Full Text PDF