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

Milica Bojanic; Dragana Radovanović; Sanja Zahorjanski; Svetlana Škorić-Jokić; Mlađan Protić

doi:10.2298/AOO210617001B

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

DOI: https://doi.org/10.2298/AOO210617001B

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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