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Review
. 2023 Mar 20;30(3):3500-3515.
doi: 10.3390/curroncol30030266.

Complex Vascular Resections for Retroperitoneal Soft Tissue Sarcoma

Nicolas A Devaud  1 , Jean M Butte  1 , Juan C De la Maza  2 , Sebastian von Mühlenbrock Hugo  2 , Kenneth Cardona  3
Affiliations
Review

Complex Vascular Resections for Retroperitoneal Soft Tissue Sarcoma

Nicolas A Devaud et al. Curr Oncol. .

Abstract

Retroperitoneal sarcomas (RPSs) are locally aggressive tumors that can compromise major vessels of the retroperitoneum including the inferior vena cava, aorta, or main tributary vessels. Vascular involvement can be secondary to the tumor's infiltrating growth pattern or primary vascular origin. Surgery is still the mainstay for curing this disease, and resection of RPSs may include major vascular resections to secure adequate oncologic results. Our improved knowledge in the tumor biology of RPSs, in conjunction with the growing surgical expertise in both sarcoma and vascular surgical techniques, has allowed for major vascular reconstructions within multi-visceral resections for RPSs with good perioperative results. This complex surgical approach may include the combined work of various surgical subspecialties.

Keywords: oncovascular surgery; retroperitoneum; sarcoma; vascular reconstruction.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
(a) Vollmann’s IVC-LMS classification; (b) type 2 IVC-LMS.
Figure 2
Figure 2
Mesenteric artery LMS: angio-CT and 3D reconstruction.
Figure 3
Figure 3
IVC partial resection with patch repair.
Figure 4
Figure 4
Iliac artery and vein reconstruction after DD-LPS resection.
See this image and copyright information in PMC

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