Inferior Vena Cava Leiomyosarcoma: What Method of Reconstruction for Which Type of Resection?
| Autor: | Bernard Meunier, Elodie Gaignard, Fabien Robin, Lisa Corbière, Damien Bergeat, Michel Rayar |
|---|---|
| Přispěvatelé: | CHU Pontchaillou [Rennes], Nutrition, Métabolismes et Cancer (NuMeCan), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES) |
| Rok vydání: | 2020 |
| Předmět: |
Leiomyosarcoma
medicine.medical_specialty [SDV]Life Sciences [q-bio] Vena Cava Inferior 030230 surgery Inferior vena cava 03 medical and health sciences 0302 clinical medicine medicine Humans Survival rate Patient Care Team business.industry Vascular surgery Plastic Surgery Procedures medicine.disease Vascular Neoplasms 3. Good health Surgery Cardiac surgery medicine.vein Cardiothoracic surgery 030220 oncology & carcinogenesis cardiovascular system Sarcoma Inferior Vena Cava Leiomyosarcoma business Abdominal surgery |
| Zdroj: | World Journal of Surgery World Journal of Surgery, 2020, 44 (10), pp.3537-3544. ⟨10.1007/s00268-020-05602-2⟩ World Journal of Surgery, Springer Verlag, 2020, 44 (10), pp.3537-3544. ⟨10.1007/s00268-020-05602-2⟩ |
| ISSN: | 1432-2323 0364-2313 |
| DOI: | 10.1007/s00268-020-05602-2⟩ |
| Popis: | International audience; Inferior vena cava leiomyosarcoma (IVCL) is a rare tumor with a poor prognosis, and its surgical resection remains a challenge. To date, surgery is the only potentially curative treatment for IVCL with a 5-year survival rate of 55%. The main challenge is to combine oncological surgery with clear margins and vascular reconstruction of the inferior vena cava (IVC). In this review, we discuss the different approaches to vascular reconstruction after IVCL resection, using a prosthetic or autologous patch, direct suture or simple ligation without IVC reconstruction. The reconstruction of IVC depends of tumor location and its extension. We recommend no reconstruction if venous collaterality is well-established. When vascular reconstruction is required, we prefer prosthetic PTFE graft. These patients should be referred to high-volume centers with a multidisciplinary team of sarcoma surgeons with cardiothoracic, vascular and hepatic specialties. |
| Databáze: | OpenAIRE |
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