ArticleJournal of vascular surgery cases and innovative techniques2026
En bloc resection and aortic reconstruction for giant retroperitoneal teratoma with encasement of aorta.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Teratomas are nonseminomatous germ cell tumors typically managed with platinum-based chemotherapy followed by resection of residual disease. We report the case of a 29-year-old man with metastatic nonseminomatous testicular cancer who developed a persistent 16 cm postchemotherapy retroperitoneal teratoma encasing the supraceliac and infrarenal aorta and involving the left renal hilum. He underwent open resection through a midline transperitoneal approach with mediastinal tumor resection, en bloc aortic resection, extended left nephrectomy, and juxtarenal aortic reconstruction using a rifampin-soaked polyester graft to achieve microscopically margin-negative (R0) complete resection. Postoperatively, he had transient renal dysfunction and a chyle leak requiring intervention. At the 3-year follow-up, he remained disease-free.
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