Leiomyosarcoma of the retrohepatic portion of the inferior vena cava: Clinical presentation and surgical management in five patients

Hardwigsen, Jean; Balandraud, Paul; Ananian, Priscilla; Saïsse, Jean; Treut, Yves Patrice Le

doi:10.1016/j.jamcollsurg.2004.09.035

Cited by 48 publications

(47 citation statements)

References 17 publications

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“…Due to the small numbers in this study, it is difficult to conclusively state that IVC reconstruction is superior to IVC ligation, but safety and patency of the IVC graft have been documented in the literature in other types of retroperitoneal tumor resection, and it should be considered if no contraindication exists. 15,16 In addition, post-operative renal failure in our series occurred in one patient who had IVC ligation. Huguet et al also reported two cases where IVC ligation produced intraoperative anuria and in one case it was associated with renal failure and death.…”

Section: Discussionmentioning

confidence: 73%

“…[13][14][15] In addition, the main risks of IVC ligation, namely chronic venous insufficiency of the lower extremities and renal failure from venous obstruction may be ameliorated by IVC reconstruction. In support, we have found that postoperative leg edema was more common in cases where IVC ligation was performed when compared to synthetic graft IVC reconstruction (66% vs. 33%).…”

Section: Discussionmentioning

confidence: 99%

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Surgical Management of Leiomyosarcoma of the Inferior Vena Cava

Cho

Marsh

Geller

et al. 2008

Journal of Gastrointestinal Surgery

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Surgical Management of Leiomyosarcoma of the Inferior Vena Cava

Cho

Marsh

Geller

et al. 2008

Journal of Gastrointestinal Surgery

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“…[5,11] Diagnosis is often via computed tomography (CT) or magnetic resonance imaging (MRI), which typically shows an abdominal mass involving the IVC which extends to the surrounding tissue and possible localized spreading or distant metastasis. Additionally, an abdominal ultrasonography (USG) can provide valuable information about vena cava patency and intraluminal tumor thrombosis but only if adequate visualization is achieved.…”

Section: Diagnosismentioning

confidence: 99%

“…[7,24] However, AVFs are known to be related to complications such as limb edema and high-flow cardiac failure. [9,11] The role of adjuvant chemotherapy and radiotherapy is not clear and remains controversial at the present time. Preoperative.…”

Section: Treatmentmentioning

confidence: 99%

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Diagnosis and management of inferior vena cava leiomyosarcoma: review of the literature with a case presentation

Hidiroğlu¹

2013

Turk Gogus Kalp Dama

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İnferior vena kava (İVK) leiomyosarkomu, nadir görülen bir hastalıktır. Bu nadir tümörün en iyi tedavisi, tümö-rün tamamen cerrahi rezeksiyonu ve dolayısıyla venöz rekonstrüksiyon ihtiyacı doğuran İVK'nin rezeksiyonudur. Rezeksiyon sonrası İVK'nin bağlanması veya primer onarım, yama ile onarım veya sentetik ya da biyolojik materyallerle tüp greft konulması gibi farklı rekonstrüksiyon yön-temleri mevcuttur. İnferior vena kava leiomyosarkomlarına ilişkin mevcut bilgiler olgu sunumları ve küçük olgu serilerine ait olduğu için, olgu sunumlarının bildirilmesi önem-lidir. Bu yazıda, İVK leiomyosarkomu olan ve Dacron tüp greft ile rekonstrüksiyon uygulanan 69 yaşında kadın bir olgu, İVK leiomyosarkomalarının tanıdan tedaviye klinik özellikleri, literatür verileri eşliğinde incelenerek sunuldu.Anah tar söz cük ler: İnferior vena kava; leiomyosarkom; vasküler tümör.Inferior vena cava (IVC) leiomyosarcoma is a rare clinical entity. The best treatment for this rare tumor is complete surgical resection of the tumor and consequently resection of IVC leading to the need for venous reconstruction. Ligation of IVC after resection or reconstruction including primary repair, patch repair or tube grafting with synthetic or biological materials are available. As the current knowledge of IVC sarcomas is based primarily on case reports and small case series, it is of utmost importance to report individual cases. In this article, we report a 69-yearold female with IVC leiomyosarcoma who underwent reconstruction with a Dacron tube graft in the light of clinical characteristics of the disease from diagnosis to treatment along with a detailed review of the literature data.

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Vascular reconstruction combined with liver resection for malignant tumours

Azoulay

Pascal

Salloum

et al. 2013

British Journal of Surgery

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Liver resection with combined vascular resection and reconstruction can be performed in selected patients with acceptable morbidity and mortality. The lack of therapeutic alternatives and the poor outcome of non-operative management seem to justify this approach. The identification of risk factors should help improve patient selection and postoperative outcome as well as facilitate objective risk communication with surgical candidates.

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Leiomyosarcoma of the retrohepatic portion of the inferior vena cava: Clinical presentation and surgical management in five patients

Cited by 48 publications

References 17 publications

Surgical Management of Leiomyosarcoma of the Inferior Vena Cava

Surgical Management of Leiomyosarcoma of the Inferior Vena Cava

Diagnosis and management of inferior vena cava leiomyosarcoma: review of the literature with a case presentation

Vascular reconstruction combined with liver resection for malignant tumours

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