The American Oncology Institute (AOI) in Kanuru, Vijayawada, has achieved a significant milestone by successfully treating a massive retroperitoneal liposarcoma. Dr Vijay Koduru, Consultant Surgical Oncologist along with Dr Mrudula Tatakuri, Consultant Anaesthesiologist performed a laparotomy and surgical excision of a 30×20 cm retroperitoneal mass which lasted for about 7 hours.

The 64-year-old female patient was presented with persistent cough since a month. On clinical examination, the MRI scans revealed a huge 30×20 cm retroperitoneal mass encasing major vessels in the abdomen, which was challenging due to its anatomic location. Liposarcoma is a rare and aggressive form of cancer that arises in fat cells. Retroperitoneal liposarcomas are particularly challenging to treat due to their large size and proximity to vital organs in the abdominal cavity.

Sharing details of the case, Dr Vijay Koduru, Consultant Surgical Oncologist said, “Treating such huge retroperitoneal mass remains quiet challenging in this case due to associated major vessels attached to mass, diaphragmatic attachment, expected massive perioperative bleeding and need of prolonged ventilation. Intraoperatively, we noticed non recordable blood pressure for few minutes due to mass compressing Aorta and inferior vena cava. Inotropic support and blood transfusion were started intraoperatively. Postoperatively, patient required prolonged ventilation for a day due to massive intraoperative bleeding and high inotropic support. Patient recovered and was off ventilator on Day 2 but with newer complication – postoperative delirium was subsequently treated.

Retroperitoneal liposarcomas present unique challenges due to their size and location. Our team’s combined expertise and dedication allowed us to execute a successful surgery and provide the best possible care to our patient. We are delighted with the outcome and proud of the multidisciplinary approach that contributed to her recovery.”

The surgery was conducted with utmost precision, prioritizing patient safety and optimal outcomes. The patient got discharged on postoperative day 7 with no neurovascular deficits and   doing fine. The timely intervention of Perioperative surgeon, anaesthetist and intensivist the team successfully removed the mass. Patient has resumed to her daily routine life.

Mahendra Reddy, Regional Chief Operating Officer, emphasizing on the importance of collaboration in achieving such remarkable results, said, “Cases like these require a coordinated effort from various medical disciplines. By employing cutting-edge technologies and leveraging the expertise of a multidisciplinary team, we strive to deliver the best possible outcomes for patients facing challenging conditions. American Oncology Institute (AOI) has always been at the forefront of providing quality healthcare that is on par with state-of-the-art infrastructure and international standards. We are committed to offering best-in-class clinical expertise, technological superiority, and service excellence for our patients.”

By leveraging advanced techniques, state-of-the-art infrastructure, and a multidisciplinary approach, AOI continues to redefine cancer treatment and improve patient outcomes. American Oncology Institute has set up its operations for cancer services at Nagarjuna Cancer Centre, Vijayawada. The hospital is a 100 bedded facility. The facility stands as the best hospital for cancer in Kanuru (Vijayawada), encompassing all cancer treatment modalities. The hospital boasts of bringing together experts from across all specialties and work together as a multidisciplinary team.