Outcome of iliocaval resection and reconstruction for retroperitoneal sarcoma

Journal of Vascular Surgery. Venous and Lymphatic Disorders
Matteo FerrarisAlessandro Gronchi

Abstract

The aim of this study was to investigate the oncologic and surgical outcomes of patients treated with inferior vena cava (IVC) or iliac vein (IV) resection for retroperitoneal sarcoma (RPS). Surgery is the only curative option for patients with primary RPS. The IVC or IV can be directly invaded by RPS or can be the organ of origin of retroperitoneal leiomyosarcoma. In both cases, resection of the IVC or IV is required to achieve a complete resection. Patients who underwent IVC or IV resection for primary or recurrent RPS between 2000 and 2016 at a single referral institution were included in this retrospective study. The oncologic outcome was explored in terms of overall survival and crude cumulative incidence (CCI) of local recurrence and distant metastasis. Surgical outcomes were explored in terms of complications, renal function, lower limb edema, and vascular graft patency. Sixty-seven patients were included: 24 IV resections (IV group), 39 IVC resections, and 4 IVC and IV resections (IVC group). The most frequent histologic types were leiomyosarcoma (63%) and liposarcoma (27%). Five-year overall survival, CCI of local recurrence, and CCI of distant metastasis (95% confidence interval) were 56.2% (43.6-72.4), 12.4% (5.2-29....Continue Reading

Citations

Jan 19, 2021·VASA. Zeitschrift für Gefässkrankheiten·Peter Franz Klein-WeigelLukas Beyer
May 14, 2020·The Surgical Clinics of North America·Michael K Turgeon, Kenneth Cardona
Apr 5, 2021·Surgery·Ferdinando Carlo Maria CananziAlessandro Gronchi
Jul 17, 2021·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Michael NooromidUNKNOWN Vascular Low Frequency Disease Consortium

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