Revascularization after segmental resection of lower extremity soft tissue sarcomas

Abstract

Although this study was small, these results suggest that further studies are needed to determine the roles that vascular graft selection and venous reconstruction play in clinical outcome.

Surgical outcomes of vascular reconstruction in soft tissue sarcomas of the lower extremities

“…However, previous studies suggested that the incidence of wound and graft infection was lower with saphenous vein grafts. 12,13 Because of the lower infection rate and greater caliber compatibility with the vessels in the lower limbs, we routinely use saphenous vein grafts as the first option in our vascular reconstructions, and they were used in approximately 80% of patients requiring arterial or venous revascularization. In our series, graft occlusion occurred more frequently in patients who underwent vascular reconstruction with use of synthetic grafts, consistent with the results of prior studies.…”

Sarcoma Resection With and Without Vascular Reconstruction: A Matched Case-Control Study

“…Traditionally surgeons have been reluctant to perform major vascular resections for this disease, due to the inherently increased complexity of these operations and the uncertainty about the long-term oncologic benefit. Over the last decade, several case series have established the feasibility and safety of en bloc vascular resection for sarcomas of the extremity, [3][4][5][6][7] retroperitoneum, [8][9][10] or specifically the inferior vena cava (IVC). [11][12][13][14][15][16][17][18] What remains unknown is whether these complex procedures are associated with a durable prolongation of survival that justifies their morbidity.…”

Management of solitary fibrous tumors localized in extremity: case series and a review of the literature

“…[22] When ipsilateral vena saphena magna, deep femoral vein junction and perigeniculate collaterals are protected, ligation of deep femoral vein does not cause any significant vascular complication. [23] In our study, in the patient who had SFT possessing malignant characteristics on anteromedial thigh (case 2), femoral artery and femoral vein resections were performed in order to make wide excision. Saphenous vein calibration was not suitable for artery reconstruction, so femoropopliteal PTFE bypass was conducted.…”