Long-term results after inferior vena caval resection during retroperitoneal lymphadenectomy for metastatic germ cell cancer

Beck, Stephen D.W.; Lalka, Stephen G.; Donohue, John P.

doi:10.1016/s0741-5214(98)70055-2

Cited by 90 publications

(43 citation statements)

References 23 publications

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“…The main indications are traumatic or iatrogenic injury, chronic postthrombotic or membranous occlusion, and malignancy, including renal cell carcinoma, 1 Wilms tumor, 2 leiomyosarcoma, 3 adrenal tumor, 4 hepatic carcinoma, 5 and retroperitoneal metastatic lymph nodes from testicular carcinoma. 6 Involvement of large vessels has been considered evidence of advanced disease and a contraindication for resection of abdominal tumors. Indeed, the surgical risks are high and the long-term survival rate is poor.…”

Section: Resultsmentioning

confidence: 99%

“…3,6,23 In most patients, circumferential resection of the IVC is necessary to be curative. Lateral resection should not be performed in patients with primary caval tumors with extraluminal extension.…”

Section: Discussionmentioning

confidence: 99%

“…1). Patients with recurrent malignancy or metastatic lymph nodes were considered candidates for surgery if recurrence occurred more than 1 year after the primary therapy (1,5,6, and 7 years) and there was no distant metastasis. Five patients had undergone previous abdominal surgery for the same disease.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Resection of the Inferior Vena Cava for Neoplasms With or Without Prosthetic Replacement: A 14-Patient Series

Hardwigsen¹,

Baqué²,

Crespy³

et al. 2001

Annals of Surgery

138

110

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Resection of the Inferior Vena Cava for Neoplasms With or Without Prosthetic Replacement: A 14-Patient Series

Hardwigsen¹,

Baqué²,

Crespy³

et al. 2001

Annals of Surgery

138

110

View full text Add to dashboard Cite

“…The other cause of the venous sequelae was thought to be that the wide retroperitoneal resection for lymph node dissection concomitant with resection of a segment of the IVC disrupted preexisting venous channels and reduced the collateral venous return. 10) It was reported that deep vein thrombosis occurred after radical resection of the IVC in leiomyosarcoma without replacement in 22 of 82 patients, 11) and in one study, 2 of 8 patients who had the IVC resection for malignant tumors without replacement developed late venous complications, such as edema in the extremities. 8) These results suggest that replacement of the IVC may be benefi cial to patients who undergo extensive retroperitoneal dissection and at least into the SVC system and the use of vasopressor agents reduce excessive hypotension, and the operation can be carried out safely even in the case of suprahepatic IVC clamping.…”

Section: Discussionmentioning

confidence: 93%

Surgical Resection and Inferior Vena Cava Reconstruction for Treatment of the Malignant Tumor: Technical Success and Outcomes

Gotō

Hashimoto

Akamatsu

et al. 2014

Annals of Vascular Diseases

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“…Although IVC reconstruction has been described, it is a complex, time consuming procedure. On the other hand, IVC resection in young patients is relatively well tolerated and rarely results in any major complications 35 and hence we elected to perform IVC resection when necessary.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal lymph node dissection for metastatic germ cell tumours

Haldipur¹,

Devaraj²,

Shehata³

et al. 2011

annals

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Testicular germ cell tumours are the most common malignancies in men aged 15-40 years.1 There has been an increased incidence over the past few decades in the UK, 2,3 US 4 and other Caucasian populations. 5 Although the aetiology is unknown, developmental urogenital abnormalities, 6 undescended testes and inguinal hernias have all been associated with higher rates, 7 with sedentary lifestyle, early puberty and genetics also implicated as risk factors. 8-10The British Testicular Tumour Panel and Registry classifies malignant testicular germ cell tumours into two main histological groups: seminomas and teratomas. 11Para-aortic lymph nodes are the most common sites of metastatic disease.Along with the tumour pathology and clinical stage, preoperative staging investigations inform the choice of further treatment, which may be surveillance, chemotherapy or radiotherapy.12 Chemotherapy is usually recommended for those with evidence of metastatic disease while surgical resection is considered for patients with significant residual masses, particularly in the para-aortic region.Surgery is most likely to play a role in improving the outcome of treatment by resecting residual masses in intermediate and poor prognosis patients who are in remission following chemotherapy.Retroperitoneal lymph node dissection (RPLND) is the most common form of surgery required 13 and national guidance recommends that the treatment of patients with advanced disease or recurrence should be carried out in specialised centres.14 In the North Trent Cancer Network (NTCN), vascular surgeons have been members of the germ cell multidisciplinary team and patients requiring RPLND for metastatic testicular cancer have been treated by the vascular service since 1990. This paper reviews our experience and considers the case for involvement of vascular surgeons in the management of these tumours. MethodsAll patients diagnosed with testicular germ cell tumour in the NTCN between 1990 and 2009 were entered into a germ cell database. Patients referred to the vascular service for RPLND were identified through this database. The main indications for surgical referral were a residual para-aortic mass of >1-2cm after chemotherapy or as part of the treat- ABSTRACT inTRodUCTion in the north Trent Cancer network (nTCn) patients requiring retroperitoneal lymphadenectomy for metastatic testicular cancer have been treated by vascular service since 1990. This paper reviews our experience and considers the case for involvement of vascular surgeons in the management of these tumours. PaTiEnTS and mEThodS Patients referred by the nTCn to the vascular service for retroperitoneal lymphadenectomy between 1990 and 2009 were identified through a germ cell database. data were supplemented by a review of case notes to record histology, intraoperative and postoperative details. RESULTS a total of 64 patients were referred to the vascular service for retroperitoneal lymph node dissection, with a median age of 29 years (16-63 years) and a median follow-up of 4.9 years. Ten patients ...

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Long-term results after inferior vena caval resection during retroperitoneal lymphadenectomy for metastatic germ cell cancer

Cited by 90 publications

References 23 publications

Resection of the Inferior Vena Cava for Neoplasms With or Without Prosthetic Replacement: A 14-Patient Series

Resection of the Inferior Vena Cava for Neoplasms With or Without Prosthetic Replacement: A 14-Patient Series

Surgical Resection and Inferior Vena Cava Reconstruction for Treatment of the Malignant Tumor: Technical Success and Outcomes

Retroperitoneal lymph node dissection for metastatic germ cell tumours

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