Morbidity of reoperative surgery

Reoperative retroperitoneal surgery can be a technically demanding procedure because of extensive adhesions and significant desmoplastic reaction secondary to prior surgery and chemotherapy, and extravasated blood and/or lymphatic fluid. In 1993, Waples and Messing [41] described nine patients undergoing extensive reoperative ret-roperitoneal surgery and reported a mean anesthetic time of 9.5 hours and mean blood loss of 6.3 L. Perioperative complications occurred in five (56%) patients and included common bile duct injury requiring pancreatic jejunostomy,

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