Inferior Vena Cava Leiomyosarcoma: What Method of Reconstruction for Which Type of Resection?

Gaignard, Elodie; Bergeat, Damien; Robin, Fabien; Corbière, Lisa; Rayar, Michel; Meunier, Brigitte

doi:10.1007/s00268-020-05602-2

Cited by 32 publications

(50 citation statements)

References 53 publications

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“…IVC reconstruction is not always indicated. It depends on the presence of a good network of collaterals, ensuring venous return [16,18]. Several techniques have been described for the IVC reconstruction, and various materials have been used, like synthetic materials including Dacron, polytetrafluoroethylene, vascular graft, or banked vena cava homograft tubularized bovine pericardium, and a stapled peritoneal fascial graft [7].…”

Section: Discussionmentioning

confidence: 99%

Infrarenal Vena Cava Leiomyosarcoma Treated With Surgical Resection and Vascular Reconstruction

Malki¹,

Lazaar²,

Bouhout³

et al. 2021

Cureus

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Leiomyosarcoma of the inferior vena cava is a rare malignant tumor with a poor prognosis. We report a case of a 39-year-old woman admitted for a surgical resection of a retroperitoneal mass revealed by pain localised in the right lumbar fossa. Computed tomography of the abdomen revealed a heterogeneous retroperitoneal mass compressing the inferior vena cava. Surgical resection was performed with the reconstruction of the inferior vena cava using a Dacron prosthesis, the diagnosis of vessel wall leiomyosarcoma was revealed by histopathology. Surgical resection with clear margins remains the only treatment offering the best survival rate. The complex nature of the surgery of those tumors is a major therapeutic challenge for surgeons.

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Section: Discussionmentioning

confidence: 99%

Infrarenal Vena Cava Leiomyosarcoma Treated With Surgical Resection and Vascular Reconstruction

Malki¹,

Lazaar²,

Bouhout³

et al. 2021

Cureus

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“…There were several options for IVC repair, including ligation, primary repair and IVC reconstruction. [6, [15][16][17] According to Yoshidome et al, it was necessary to reconstruct vena cava only in patients with poor collateral circulation or unstable hemodynamics. [17] On the contrary, Illuminati et al suggested vascular reconstruction if applicable.…”

Section: Discussionmentioning

confidence: 99%

“…[15] In our center, we were in favor of reconstruction via graft when there was bad collateral circulation in the upper and/or middle segments of IVC. [4,15] For the lower segment of IVC and middle segment of IVC with enough collateral circulation, we preferred primary repair. Compared to ligation, the IVC after primary repair was patent at least to some extent, providing an out ow for venous drainage.…”

Section: Discussionmentioning

confidence: 99%

A 10-Year Experience of Leiomyosarcoma of the Inferior Vena Cava

Qiu

Xue

et al. 2021

Preprint

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Background: Leiomyosarcoma of the inferior vena cava (IVC) is rare. The study reviewed patients with IVC leiomyosarcoma in our hospital in the past ten years.Methods: 20 patients diagnosed with IVC leiomyosarcoma between October 2010 and October 2020 were enrolled. Their clinical manifestations, treatments and follow-up results were analyzed.Results: The sarcoma was located in the lower IVC segment in six patients, with 13 in the middle IVC segment and one in the upper IVC segment. The median tumor size was 8.5 cm (range 2.5-27.0). Except for two patients who underwent partial resection, other patients underwent R0 resection. After resection, 16 patients (80%) had primary repair of the IVC, while four patients underwent ligation. Three patients with tumors invading the renal vein but not the kidney underwent renal vein revascularization. There was no perioperative death. During a mean follow-up of 37.7 months, seven patients died due to tumor metastasis, four patients were alive with the tumor recurrence and other nine patients were alive without recurrence.Conclusion: The perioperative mortality was low. The management of the IVC after tumor resection depended on the tumor location and size. R0 resection provided a chance for long term survival.

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“…Furthermore, the management after the surgery resection of tumors is also vital. It is still controversial for the need and different strategies used for inferior vena cava reconstruction, which depends on the tumor location and hepatic or renal vein involvement ( 4 ). However, in recent years, there are few clinical studies and reference experience on leiomyoma.…”

Section: Introductionmentioning

confidence: 99%

Surgery Treatment of Primary Tumors of the Inferior Vena Cava

Wang

Yang

et al. 2022

Front. Med.

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BackgroundPrimary tumor of the inferior vena cava is a rare tumor, which arises from the smooth muscle of vascular walls. Surgery appears the only curative treatment. However, the optimal surgical methods and surgical management are not well-studied. In this article, we reviewed the successful treatment experience of patients in our center who had resection of primary tumor of the inferior vena cava and reviewed the relevant literature.MethodsFour cases of patients who undergoing initial resection of primary tumors of the inferior vena cava from September 2017 to August 2021 in the Second Affiliated Hospital of Nanchang University were screened and followed up. They were discussed and cases reported in this field were reviewed.ResultsAmong the four patients, three of them were female. The median age of the disease is 53.75 years (range 45–60 years). After surgical treatment, tumors were removed in all patients, and some patients had reconstruction of inferior vena cava. There were no disease-specific deaths, no serious complications, and no recurrence during follow-up in these cases.ConclusionsCareful preoperative examination, correct surgical treatment methods, and multidisciplinary collaboration can lead to safe and successful operations, which improve the survival rate of patients.

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Inferior Vena Cava Leiomyosarcoma: What Method of Reconstruction for Which Type of Resection?

Cited by 32 publications

References 53 publications

Infrarenal Vena Cava Leiomyosarcoma Treated With Surgical Resection and Vascular Reconstruction

Infrarenal Vena Cava Leiomyosarcoma Treated With Surgical Resection and Vascular Reconstruction

A 10-Year Experience of Leiomyosarcoma of the Inferior Vena Cava

Surgery Treatment of Primary Tumors of the Inferior Vena Cava

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