En Bloc Resection with Major Blood Vessel Reconstruction for Locally Invasive Retroperitoneal Paragangliomas: A 15‐Year Experience with Literature Review

Hu, Hankui; Huang, Bin; Zhao, Jichun; Yuan, Daoxian; Yang, Yi; Xiong, Fei

doi:10.1007/s00268-016-3846-x

Cited by 9 publications

(5 citation statements)

References 26 publications

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“…Homsy et al [10] in a recent study, described seven aortic resections in seventh casuist patients with abdominal sarcoma major vessel evolvement. They concluded that oncovascular surgery enables radical resection required for reasonable local control of retroperitoneal sarcomas and is associat-ed with an acceptable level of complications peri-operatively and during follow-up [13]. We believe this conclusion can be transposed to pediatric patients.…”

Section: Discussionmentioning

confidence: 74%

Aortic Replacement for Retroperitoneal Tumors in Children

Ribeiro¹,

Abib²

2021

COO

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Section: Discussionmentioning

confidence: 74%

Aortic Replacement for Retroperitoneal Tumors in Children

Ribeiro¹,

Abib²

2021

COO

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“…For more common tumours like WT and HBL, protocols are available and they dictate neoadjuvant NACT 24,30 . On the contrary, Paragangliomas have typically a poor response to NACT and therefore primary en-bloc resection of mass and vessels must be considered 31,32,33,21 After resection of the involved vessel, a decision needs to be made regards simple ligation, or reconstruction. 34 This will depend on whether an artery or vein is involved, and what it supplies: most arteries and the portal vein will require reconstruction, whilst the IVC can be ligated with impunity.…”

Section: Discussionmentioning

confidence: 99%

Paediatric Abdominal Oncovascular Surgery: a Single-centre Experience and Review of the Literature

Zanini

Harrison

Connor

et al. 2023

Preprint

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PURPOSE Oncovascular surgery is a term identifying vascular resection in the context of tumour resection which is still controversial in children. We present our experience and review of the literature. METHODS A retrospective review of children who underwent abdominal oncovascular procedures in our Institution from 2018 to 2022 was conducted. Type of operation and post-operative outcome was described. Literature review on oncovascular surgery in children is presented. RESULTS Seven cases were identified, mean age 8.25 years (9 months- 14 years): 2 bilateral paraganglioma, 2 Wilms tumour, 1 Pancreatoblastoma, 1 Solid Pseudopapillary Tumour of the Pancreas (SPN), and 1 Hepatoblastoma. Five procedures were performed on the Inferior Vena Cava: 3 patients underwent cavectomy with no reconstruction, one had a partial cavectomy with primary repair, and one had resection and reconstruction with a PTFE graft which complicated with leaking and infection. Two patients underwent a pancreaticoduodenectomy with Portal Vein resection and primary anastomosis. Five patients were completely resected (R0), 2 patients had microscopically positive margins (R1). All patients were alive at last follow up. CONCLUSION Vascular resection can allow complete tumour resection in locally advanced paediatric tumours. Oncovascular surgery in children is feasible and may be beneficial in selected cases.

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“…Tumor infiltration is a rare cause of aortic rupture. Besides the germ cell testicular cancer [ 16 ], abdominal aortic invasion has also been reported in other types of malignancies as soft tissue sarcomas [ 17 – 20 ], paragangliomas [ 21 ], lymphomas [ 22 ] and gynecological tumors [ 23 ]. Most authors consent that endovascular aortic intervention is an effective and safe method which should be encouraged to provide a definite therapeutic impact in a subset of patients who would otherwise not be candidates for curative surgery.…”

Section: Discussionmentioning

confidence: 99%

Successful emergency endovascular aortic repair for intratumoral hemorrhage in extensive retroperitoneal mass of testicular origin

Huľová

Aziri

Vulev³

et al. 2020

BMC Surg

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Background Metastatic germ cell cancer of the testis is characterized by favorable prognosis since effective treatment methods are available even in cases of extensive disease. Retroperitoneal masses frequently encroach major blood vessels requiring a vascular intervention usually performed in association with the post-chemotherapy retroperitoneal lymph node dissection (RPLND). Reported clinical case describes a successful pre-treatment endovascular surgery for abdominal aortic rupture allowing for full-dose systemic chemotherapy administration, and subsequent radical surgical intervention at primary tumor site as well as metastatic retroperitoneal lymph node dissection including the reconstruction of inferior caval vein. Case presentation Patient presented with left-sided testicular tumor and voluminous retroperitoneal mass with vascular involvement. Soon after the patient had been admitted for the first cycle of cisplatin-based chemotherapy, computed tomographic angiography (CTA) revealed a dorsal aortic wall rupture with active extravasation and irregular pseudoaneurysmatic dilatation of the aorta below the leak area. Retroperitoneal intratumoral hemorrhage associated with the bilateral iliac venous thrombosis required an endovascular repair procedure of infrarenal abdominal aorta. Conclusions Following the successful endovascular aortic repair 3 cycles of BEP (bleomycin, etoposide, cisplatin) regimen were administered with subsequent delayed left radical orchiectomy and RPLND associated with vena cava inferior (VCI) resection. Reconstruction of VCI was originally not deemed necessary as collateral blood flow appeared sufficient, however, intraoperative complications resulted in the need for unilateral VCI reconstruction, using the interposed bypass between right common iliac vein and infrarenal segment of VCI. Histopathologic examination of the attained specimen detected no vital cancer structures. The patient remains disease-free 18 months after the RPLND.

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En Bloc Resection with Major Blood Vessel Reconstruction for Locally Invasive Retroperitoneal Paragangliomas: A 15‐Year Experience with Literature Review

Abstract: En bloc resection with major blood vessel reconstruction can be successfully performed and provide satisfactory outcomes for patients with locally invasive retroperitoneal PGs. This technique may become a standard surgical strategy for properly selected patients.

Cited by 9 publications

References 26 publications

Aortic Replacement for Retroperitoneal Tumors in Children

Aortic Replacement for Retroperitoneal Tumors in Children

Paediatric Abdominal Oncovascular Surgery: a Single-centre Experience and Review of the Literature

Successful emergency endovascular aortic repair for intratumoral hemorrhage in extensive retroperitoneal mass of testicular origin

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