Yeah, sure. The surgical approach to retroperitoneal sarcoma is a very hot topic. It has been changing, actually, over the last years. So it’s very important to have some education and training also. So this kind of approach that is very specific to a rare disease like retroperitoneal sarcoma that accounts for example in Italy for no more than 400 to 500 cases per year, so it’s a rare tumor...
Yeah, sure. The surgical approach to retroperitoneal sarcoma is a very hot topic. It has been changing, actually, over the last years. So it’s very important to have some education and training also. So this kind of approach that is very specific to a rare disease like retroperitoneal sarcoma that accounts for example in Italy for no more than 400 to 500 cases per year, so it’s a rare tumor. Besides that, the approach is specific because from the technical point of view, these are not organ tumors, they just grow wherever within the abdomen, within the spaces in the retroperitoneal space, which is difficult and sometimes challenging to be approached. More importantly, we found out over the last years that the best local control of these diseases is reached when you offer a very extensive procedure that we call a comprehensive retroperitoneal resection. That means that you can resect also surrounding organs to the tumor, regardless of whether they are directly invaded or not by the sarcoma. This is applied especially for liposarcoma, the more frequent histology encountered. It’s a little bit different in case of leiomyosarcoma, which is the second one. But besides that, we think that offering a very structured approach, as we have in all the other fields of surgical oncology – I mean, you have a very structured approach to pancreatic duodenectomy, to mesorectal excision, and so on – so why should you not have this for the optimal treatment of retroperitoneal sarcoma? So we really think that this is important and it’s all still not completely outside of a referral center.
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