Stilidi IS, Abgaryan MG, Kalinin AE, Berdnikov SN. [Surgical treatment of patients with leiomyosarcoma of inferior vena cava].
Khirurgiia (Mosk) 2018:4-12. [PMID:
29076476 DOI:
10.17116/hirurgia2017104-12]
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Abstract
AIM
To evaluate the results of surgical treatment of patients with leiomyosarcoma of inferior vena cava.
MATERIAL AND METHODS
For the period 2003-2016 21 patients with leiomyosarcoma of IVC were operated at the abdominal department of Blokhin Russian Cancer Research Center. 23.8% patients (n=5) underwent longitudinal resection of IVC, 23.8% (n=5) - circular resection and ligation of IVC, 23.8% (n=5) - circular resection and ligation of IVC, left renal vein ligation, 9.5% (n=2) - circular resection and replacement of IVC, 9.5% (n=2) - circular resection and replacement of IVC, ligation of left renal vein, 9.5% (n=2) - circular resection and replacement of IVC, left renal vein implantation into the prosthesis.
RESULTS
The incidence of postoperative complications was 38% (n=8). Postoperative mortality was 4.8% (n=1). R1-resection was made in 4.8% patients (n=1). 1- and 2-year recurrence-free survival was 67% and 50% respectively. Overall 1- and 2-year survival was 86% and 68% respectively.
CONCLUSION
In patients with leiomyosarcoma of inferior vena cava surgery is feasible and safe with satisfactory long-term results.
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