Surgical resection of leiomyosarcoma of the inferior vena cava: A case series and literature review

Zhou, Michael; Javadi, Christopher; Charville, Greg; Bui, Nam Q.; Harris, E. John; Poultsides, George A.; Norton, Jeffrey A.; Visser, Brendan C.; Lee, Byrne; Dua, Monica M.; Ganjoo, Kristen N.

doi:10.1016/j.suronc.2021.101670

Cited by 6 publications

(7 citation statements)

References 40 publications

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“…3 In previous studies, major 30-day complication rates range from 16% to 25% for IVC-Reconstruction and 4%-17% for IVC-Ligation. 15,[22][23][24][25] Although major 30-day complication rates did not differ significantly between IVC-Ligation and IVC-Reconstruction (33% vs. 25%, respectively), our IVC-Ligation cohort reported 13 major complication events. This observed rate in major complications for IVC-Ligation may be explained by age and underlying baseline performance status, as the cohort tended to be older (median age 63.5 years) with higher baseline ECOG scores.…”

Section: Discussionmentioning

confidence: 57%

“…Perioperative morbidity associated with IVC‐Ligation has been posited as one of the primary reasons to avoid the procedure in retroperitoneal tumors 3 . In previous studies, major 30‐day complication rates range from 16% to 25% for IVC‐Reconstruction and 4%–17% for IVC‐Ligation 15,22–25 …”

Section: Discussionmentioning

confidence: 99%

“…2,4,5 Due to the rarity of the tumors involving the IVC primarily or secondarily, there is no general consensus on how to proceed after IVC resection, with groups advocating for either ligation without reconstruction or resection with reconstruction depending on their center's expertise. 2,3,5,7,15,22 In this analysis of 55 retroperitoneal tumors of multiple Perioperative morbidity associated with IVC-Ligation has been posited as one of the primary reasons to avoid the procedure in retroperitoneal tumors. 3 In previous studies, major 30-day complication rates range from 16% to 25% for IVC-Reconstruction and 4%-17% for IVC-Ligation.…”

Section: Discussionmentioning

confidence: 99%

“…Indications for IVC resection are case‐dependent and are usually recommended when the tumor emanates from or invades the caval wall, or it is inseparable from the caval lumen 2,4,5 . Due to the rarity of the tumors involving the IVC primarily or secondarily, there is no general consensus on how to proceed after IVC resection, with groups advocating for either ligation without reconstruction or resection with reconstruction depending on their center's expertise 2,3,5,7,15,22 . In this analysis of 55 retroperitoneal tumors of multiple histologies with IVC involvement, IVC‐Ligation for aggressive surgical management of the malignant disease can be performed with low morbidity, low mortality, and excellent clinical results, regardless of the extent of IVC involvement in the resection.…”

Section: Discussionmentioning

confidence: 99%

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Resection of retroperitoneal tumors with inferior vena cava involvement without caval reconstruction

Palacios

Schmeusser

Midenberg

et al. 2022

Journal of Surgical Oncology

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Background and Objectives: Retroperitoneal tumors with involvement of the inferior vena cava (IVC) often require resection of the IVC to achieve complete tumor removal. This study evaluates the safety and efficacy of IVC ligation without caval reconstruction.Methods: A retrospective chart review of patients who underwent IVC ligation (IVC-Ligation) and IVC resection with reconstruction (IVC-Reconstruction) at our institution between May 2004 and April 2021 was performed. Outcomes from the two surgical techniques were compared via univariate analysis using the Kruskal-Wallis test for continuous variables and Fisher's exact test for categorical variables.Results: Forty-nine IVC-Ligation and six IVC-Reconstruction surgeries were identified. There were no differences in baseline demographics, tumor characteristics, complication rates, postoperative morbidity, or overall 5-year survival between groups. IVC-Reconstruction patients were more likely to require intensive care unit admission (83% vs. 33%; p = 0.0257) and the IVC-Ligation cohort had a tendency to present with nondebilitating postoperative lymphedema (35% vs. 0%; p = 0.1615), which resolved for most patients.Conclusions: IVC-Ligation is a viable surgical option for select patients presenting with retroperitoneal tumors with IVC involvement and provides acceptable shortand medium-term outcomes.

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Resection of retroperitoneal tumors with inferior vena cava involvement without caval reconstruction

Palacios

Schmeusser

Midenberg

et al. 2022

Journal of Surgical Oncology

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“…21 Zhou et al described a case of stenosis due to intimal hyperplasia treated with endovascular placement of a self-expanding vein stent and balloon dilatation. 22 Nooromid et al described three IVC-duodenal fistulas out of 81 PTFE grafts in the first 2 postoperative years. In the same study, the patency rates of PTFE reconstruction were 97%, 92%, and 92%, respectively at 1, 3, and 5 years follow-up.…”

Section: Inferior Vena Cava Reconstruction With Synthetic Materialsmentioning

confidence: 99%

Inferior vena cava reconstruction with non‐fascial autologous peritoneum: Retrospective study and literature review

Delcarro,

Coubeau

2024

World j. surg.

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BackgroundInferior vena cava (IVC) resection is essential for complete (R0) excision of some malignancies. However, the optimal material for IVC reconstruction remains unclear. Our objective is to demonstrate the efficacy, safety, and advantages of using Non‐Fascial Autologous Peritoneum (NFAP) for IVC reconstruction. To conduct a literature review of surgical strategies for tumors involving the IVC.MethodsWe reviewed all IVC reconstructions performed at our institution between 2015 and 2023. Preoperative, operative, postoperative, and follow‐up data were collected and analyzed.ResultsA total of 33 consecutive IVC reconstructions were identified: seven direct sutures, eight venous homografts (VH), and 18 NFAP. With regard to NFAP, eight tubular (mean length, 12.5 cm) and 10 patch (mean length, 7.9 cm) IVC reconstructions were performed. Resection was R0 in 89% of the cases. Two patients had Clavien–Dindo grade I complications, 2 grade II, 2 grade III and 2 grade V complications. The only graft‐related complication was a case of early partial thrombosis, which was conservatively treated. At a mean follow‐up of 25.9 months, graft patency was 100%. There were seven recurrences and six deaths. Mean overall survival (OS) was 23.4 months and mean disease‐free survival (DFS) was 14.4 months. According to our results, no statistically significant differences were found between NFAP and VH.ConclusionsNFAP is a safe and effective alternative for partial or complete IVC reconstruction and has many advantages over other techniques, including its lack of cost, wide and ready availability, extreme handiness, and versatility. Further comparative studies are required to determine the optimal technique for IVC reconstruction.

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Leiomyosarcoma of the Inferior Vena Cava and Vascular Reconstruction

Silva

Buonfiglio

Sadi

2022

Urology

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Surgical resection of leiomyosarcoma of the inferior vena cava: A case series and literature review

Cited by 6 publications

References 40 publications

Resection of retroperitoneal tumors with inferior vena cava involvement without caval reconstruction

Resection of retroperitoneal tumors with inferior vena cava involvement without caval reconstruction

Inferior vena cava reconstruction with non‐fascial autologous peritoneum: Retrospective study and literature review

Leiomyosarcoma of the Inferior Vena Cava and Vascular Reconstruction

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