Vena caval reconstruction during postchemotherapy retroperitoneal lymph node dissection for metastatic germ cell tumor
| Autor: | Avigdor Zelikovski, Yaron Ehrlich, Miriam Konichezky, Jack Baniel, Daniel Kedar |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Chronic venous insufficiency Urology medicine.medical_treatment Vena Cava Inferior Inferior vena cava Recurrent Tumor Vena caval Resection Retroperitoneal lymph node dissection Young Adult Testicular Neoplasms medicine Humans business.industry Middle Aged Neoplasms Germ Cell and Embryonal medicine.disease Combined Modality Therapy Surgery medicine.vein Leg edema cardiovascular system Lymph Node Excision Metastatic Germ Cell Tumor Radiology business |
| Zdroj: | Urology. 73(2) |
| ISSN: | 1527-9995 |
| Popis: | We present our experience with inferior vena cava (IVC) reconstruction in patients undergoing post-chemotherapy retroperitoneal lymph node dissection (PC-RPLND) due to metastatic germ cell tumor. Four patients underwent IVC reconstruction with a prosthetic graft. Early postoperative leg edema was prevented in all 4. Long-term graft patency was maintained in 3 patients, who remained free of chronic venous disorders for a median follow-up of 19 months (range of 13-55 months). In a fourth patient, graft occlusion was noted during follow up, caused by compression of the graft by a recurrent tumor. We conclude that when resection of the IVC is indicated during PC-RPLND, replacement by a prosthetic graft may prevent immediate postoperative leg edema and later chronic venous insufficiency. |
| Databáze: | OpenAIRE |
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