A patient with large retroperitoneal liposarcoma - a challenge for an anesthesiologist

  • Milica Bojanic Oncology Institute of Vojvodina, Clinic for Oncological Surgery, Department of Anesthesiology, Intensive Therapy and Care, Put doktora Goldmana 4, 21204, Sremska Kamenica, Serbia
  • Dragana Radovanović Oncology Institute of Vojvodina, Clinic for Oncological Surgery, Department of Anesthesiology, Intensive Therapy and Care, Put doktora Goldmana 4, 21204, Sremska Kamenica, Serbia; University of Novi Sad, Faculty of Medicine, Hajduk Veljkova 3, 21000, Novi Sad, Serbia
  • Sanja Zahorjanski Oncology Institute of Vojvodina, Clinic for Oncological Surgery, Department of Anesthesiology, Intensive Therapy and Care, Put doktora Goldmana 4, 21204, Sremska Kamenica, Serbia
  • Svetlana Škorić-Jokić Oncology Institute of Vojvodina, Clinic for Oncological Surgery, Department of Anesthesiology, Intensive Therapy and Care, Put doktora Goldmana 4, 21204, Sremska Kamenica, Serbia
  • Mlađan Protić Oncology Institute of Vojvodina, Clinic for Oncological Surgery, Department of Surgery, Put doktora Goldmana 4, 21204, Sremska Kamenica, Serbia; University of Novi Sad, Faculty of Medicine, Hajduk Veljkova 3, 21000, Novi Sad, Serbia
Keywords: Retroperitoneal liposarcoma, Invasive hemodynamic monitoring, Entropy, Anesthetic management

Abstract


Retroperitoneal liposarcoma is a rare type of tumor characterized by slow growth and nonspecific symptoms, and is usually diagnosed at an advanced stage. Patients with huge retroperitoneal liposarcoma have a high risk of developing perioperative complications, and require special preoperative preparation and a carefully planned anesthetic approach. We present the case of a 57-year-old man, who was diagnosed with a huge retroperitoneal liposarcoma, 70 cm in diameter, weighing 30.4 kg and planned for surgical resection of the tumor under general anesthesia. Perioperative treatment and anesthesia for this patient were a great challenge for the anesthesiologist. However, due to preoperative preparation, monitoring and fluid replacement, hemodynamic and respiratory stability of the patient was maintained perioperatively.

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Published
2022/01/27
Section
Short Report