eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2026 , Vol. 7 >Issue 8: 979 - 981

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.08.015

Critical Care Research

Perioperative nursing care of flap transplantation for a patient with huge retroperitoneal lumbar leiomyosarcoma

  • ZHOU Xiaowei ,
  • LUO Chunmei ,
  • REN Ying ,
  • MA Yaojing ,
  • YAO Zhaonong ,
  • LI Weijie ,
  • GAO Qian
Expand
  • Department of Nursing， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310009， China
*GAO Qian，E-mail：2520036@zju.edu.cn

Received date: 2026-03-12

  Online published: 2026-08-04

Supported by

Medical and Health Science Program of Zhejiang Province(2025HY0406)

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Abstract

This article summarized perioperative nursing for a patient with a rare giant retroperitoneal leiomyosarcoma involving the lumbar spine who underwent latissimus dorsi turnover flap transplantation after massive intraoperative hemorrhage. To balance circulatory instability and flap perfusion，triple monitoring （vital signs，urine output，flap） and goal-directed fluid therapy were implemented within 72 h. Multimodal quantitative flap perfusion assessment，a graded emergency protocol，meticulous positioning management，multidimensional vasospasm prevention，and design of a fenestrated lumbodorsal brace were applied. The patient was discharged after 15 days with a favorable prognosis at the 6-month follow-up.

Key words： Retroperitoneal Neoplasms; Latissimus Dorsi Flap Transplantation; Perioperative Nursing

Cite this article

ZHOU Xiaowei , LUO Chunmei , REN Ying , MA Yaojing , YAO Zhaonong , LI Weijie , GAO Qian . Perioperative nursing care of flap transplantation for a patient with huge retroperitoneal lumbar leiomyosarcoma[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026 , 7(8) : 979 -981 . DOI: 10.3761/j.issn.2096-7446.2026.08.015

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