Resection of the Inferior Vena Cava Due to Tumor Involvement Allows Long-Term Survival in Different Neoplasms
Background: The involvement of the inferior vena cava in advanced abdominal tumors is a surgical challenge, given the high postoperative morbidity and poor long-term prognosis. Our goal was to analyze our experience, perioperative management, and results. Methods: We retrospectively evaluated short...
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MDPI AG
2024-09-01
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| Series: | Gastroenterology Insights |
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| Online Access: | https://www.mdpi.com/2036-7422/15/4/60 |
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| author | Isabel Jaén-Torrejimeno Diego López-Guerra Adela Rojas-Holguín Antonio Enrique Gómez-Martin Gerardo Blanco-Fernández |
| author_facet | Isabel Jaén-Torrejimeno Diego López-Guerra Adela Rojas-Holguín Antonio Enrique Gómez-Martin Gerardo Blanco-Fernández |
| author_sort | Isabel Jaén-Torrejimeno |
| collection | DOAJ |
| description | Background: The involvement of the inferior vena cava in advanced abdominal tumors is a surgical challenge, given the high postoperative morbidity and poor long-term prognosis. Our goal was to analyze our experience, perioperative management, and results. Methods: We retrospectively evaluated short and long-term results of surgical resections of tumors with associated inferior vena cava resection performed in our facilities between 2012 and 2023. Results: A total of 25 patients were selected for our retrospective study: 3 with renal carcinoma, 5 with sarcoma, 12 with metastatic lesions, 2 with adrenal tumors, 1 pancreatic tumor, 1 extra-adrenal paraganglioma and 1 with hepatocellular carcinoma. Postoperative severe complications (Dindo-Clavien score ≥ IIIa) affected 36% of patients and the mortality rate was 8%. Partial resection with primary repair was performed in 13 patients (52%), with patch reconstruction in 6 (24%), and vascular reconstruction with prosthesis in 6 patients (24%). The mean disease-free survival was 7 months (IQR 2.5–11.5). Graft thrombosis occurred in 2 patients during follow-up. Conclusions: In selected patients, the resection of the inferior vena cava is a complex surgery with an assumable morbimortality and relative survival improvement. |
| format | Article |
| id | doaj-art-f68fee060517467f8370e73d4dcf4584 |
| institution | DOAJ |
| issn | 2036-7414 2036-7422 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | MDPI AG |
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| series | Gastroenterology Insights |
| spelling | doaj-art-f68fee060517467f8370e73d4dcf45842025-08-20T02:55:33ZengMDPI AGGastroenterology Insights2036-74142036-74222024-09-0115486587710.3390/gastroent15040060Resection of the Inferior Vena Cava Due to Tumor Involvement Allows Long-Term Survival in Different NeoplasmsIsabel Jaén-Torrejimeno0Diego López-Guerra1Adela Rojas-Holguín2Antonio Enrique Gómez-Martin3Gerardo Blanco-Fernández4Department of HBP and Liver Transplant Surgery, Hospital Universitario de Badajoz, 06006 Badajoz, SpainDepartment of HBP and Liver Transplant Surgery, Hospital Universitario de Badajoz, 06006 Badajoz, SpainDepartment of HBP and Liver Transplant Surgery, Hospital Universitario de Badajoz, 06006 Badajoz, SpainDepartment of HBP and Liver Transplant Surgery, Hospital Universitario de Badajoz, 06006 Badajoz, SpainDepartment of HBP and Liver Transplant Surgery, Hospital Universitario de Badajoz, 06006 Badajoz, SpainBackground: The involvement of the inferior vena cava in advanced abdominal tumors is a surgical challenge, given the high postoperative morbidity and poor long-term prognosis. Our goal was to analyze our experience, perioperative management, and results. Methods: We retrospectively evaluated short and long-term results of surgical resections of tumors with associated inferior vena cava resection performed in our facilities between 2012 and 2023. Results: A total of 25 patients were selected for our retrospective study: 3 with renal carcinoma, 5 with sarcoma, 12 with metastatic lesions, 2 with adrenal tumors, 1 pancreatic tumor, 1 extra-adrenal paraganglioma and 1 with hepatocellular carcinoma. Postoperative severe complications (Dindo-Clavien score ≥ IIIa) affected 36% of patients and the mortality rate was 8%. Partial resection with primary repair was performed in 13 patients (52%), with patch reconstruction in 6 (24%), and vascular reconstruction with prosthesis in 6 patients (24%). The mean disease-free survival was 7 months (IQR 2.5–11.5). Graft thrombosis occurred in 2 patients during follow-up. Conclusions: In selected patients, the resection of the inferior vena cava is a complex surgery with an assumable morbimortality and relative survival improvement.https://www.mdpi.com/2036-7422/15/4/60inferior vena cavaradical resectionvascular reconstructionprosthetic replacementcaval resectioninvolvement of vena cava |
| spellingShingle | Isabel Jaén-Torrejimeno Diego López-Guerra Adela Rojas-Holguín Antonio Enrique Gómez-Martin Gerardo Blanco-Fernández Resection of the Inferior Vena Cava Due to Tumor Involvement Allows Long-Term Survival in Different Neoplasms Gastroenterology Insights inferior vena cava radical resection vascular reconstruction prosthetic replacement caval resection involvement of vena cava |
| title | Resection of the Inferior Vena Cava Due to Tumor Involvement Allows Long-Term Survival in Different Neoplasms |
| title_full | Resection of the Inferior Vena Cava Due to Tumor Involvement Allows Long-Term Survival in Different Neoplasms |
| title_fullStr | Resection of the Inferior Vena Cava Due to Tumor Involvement Allows Long-Term Survival in Different Neoplasms |
| title_full_unstemmed | Resection of the Inferior Vena Cava Due to Tumor Involvement Allows Long-Term Survival in Different Neoplasms |
| title_short | Resection of the Inferior Vena Cava Due to Tumor Involvement Allows Long-Term Survival in Different Neoplasms |
| title_sort | resection of the inferior vena cava due to tumor involvement allows long term survival in different neoplasms |
| topic | inferior vena cava radical resection vascular reconstruction prosthetic replacement caval resection involvement of vena cava |
| url | https://www.mdpi.com/2036-7422/15/4/60 |
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