Surgical and reconstructive outcomes in primary venous leiomyosarcoma

Sheaffer, William W.; Davila, Victor J.; Mendes, Bernardo C.; Meltzer, Andrew J.; Stone, William M.; Soh, Ina; Truty, Mark J.; Nagorney, David M.; Money, Samuel R.; Bower, Thomas C.

doi:10.1016/j.jvsv.2021.07.010

Cited by 1 publication

(2 citation statements)

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“…reported two re‐interventions: one for occlusion and one for graft infection. In the same study, they described an IVC patency rate of 91% at 5 years follow‐up 21 . Zhou et al.…”

Section: Discussionmentioning

confidence: 79%

“…In 43 PTFE In the same study, they described an IVC patency rate of 91% at 5 years follow-up. 21 Zhou et al described a case of stenosis due to intimal hyperplasia treated with endovascular placement of a self-expanding vein stent and balloon dilatation. 22 Nooromid et al described three IVC-duodenal fistulas out of 81 PTFE grafts in the first 2 postoperative years.…”

Section: Inferior Vena Cava Reconstruction With Synthetic Materialsmentioning

confidence: 99%

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Inferior vena cava reconstruction with non‐fascial autologous peritoneum: Retrospective study and literature review

Delcarro,

Coubeau

2024

World j. surg.

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BackgroundInferior vena cava (IVC) resection is essential for complete (R0) excision of some malignancies. However, the optimal material for IVC reconstruction remains unclear. Our objective is to demonstrate the efficacy, safety, and advantages of using Non‐Fascial Autologous Peritoneum (NFAP) for IVC reconstruction. To conduct a literature review of surgical strategies for tumors involving the IVC.MethodsWe reviewed all IVC reconstructions performed at our institution between 2015 and 2023. Preoperative, operative, postoperative, and follow‐up data were collected and analyzed.ResultsA total of 33 consecutive IVC reconstructions were identified: seven direct sutures, eight venous homografts (VH), and 18 NFAP. With regard to NFAP, eight tubular (mean length, 12.5 cm) and 10 patch (mean length, 7.9 cm) IVC reconstructions were performed. Resection was R0 in 89% of the cases. Two patients had Clavien–Dindo grade I complications, 2 grade II, 2 grade III and 2 grade V complications. The only graft‐related complication was a case of early partial thrombosis, which was conservatively treated. At a mean follow‐up of 25.9 months, graft patency was 100%. There were seven recurrences and six deaths. Mean overall survival (OS) was 23.4 months and mean disease‐free survival (DFS) was 14.4 months. According to our results, no statistically significant differences were found between NFAP and VH.ConclusionsNFAP is a safe and effective alternative for partial or complete IVC reconstruction and has many advantages over other techniques, including its lack of cost, wide and ready availability, extreme handiness, and versatility. Further comparative studies are required to determine the optimal technique for IVC reconstruction.

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“…reported two re‐interventions: one for occlusion and one for graft infection. In the same study, they described an IVC patency rate of 91% at 5 years follow‐up 21 . Zhou et al.…”

Section: Discussionmentioning

confidence: 79%

Section: Inferior Vena Cava Reconstruction With Synthetic Materialsmentioning

confidence: 99%