title: [Application of an arc-shaped transperineal incision in front of the apex of coccyx during the resection of pelvic retroperitoneal tumors].
abstract: OBJECTIVE
  To explore a better operative approach to resect complicated pelvic retroperitoneal tumors.
  
  
  METHODS
  A total of 28 patients with complicated pelvic retroperitoneal tumors who received surgical resection in our hospital from 2006 to 2010 were included in this study. The surgical operation was assisted with an arc-shaped transperineal incision in front of the apex of coccyx. The operation time, intraoperative blood loss, death toll and length of hospital stay of the patients were retrospectively analyzed.
  
  
  RESULTS
  The median operation time was 122.5 minutes. The median blood loss was 420 ml, and the median length of hospital stay of the patients was 17.5 days. There was no postoperative death in this group of patients.
  
  
  CONCLUSIONS
  With the assistance of this arc-shaped transperineal incision in front of the apex of coccyx, the resection of pelvic retroperitoneal tumors can be effectively improved and the surgery risk is reduced.
authors.affiliation: Department of General Surgery, Henan Tumor Hospital, Zhengzhou, China.
authors.forename: Gang-cheng
authors.initials: GC
authors.lastname: Wang
authors.forename: Lin-bo
authors.initials: LB
authors.lastname: Liu
authors.forename: Guang-sen
authors.initials: GS
authors.lastname: Han
authors.forename: Ying-kun
authors.initials: YK
authors.lastname: Ren
mesh_terms: D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D003050:Coccyx / Q000601:surgery*; D004814:Epidermal Cyst / Q000473:pathology / Q000601:surgery; D005260:Female; D046152:Gastrointestinal Stromal Tumors / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009442:Neurilemmoma / Q000473:pathology / Q000601:surgery; D010386:Pelvic Neoplasms / Q000473:pathology / Q000601:surgery*; D012187:Retroperitoneal Space; D012189:Retrospective Studies; D013724:Teratoma / Q000473:pathology / Q000601:surgery*