Major vascular resection in retroperitoneal sarcoma surgery

被引:18
作者
Cananzi, Ferdinando Carlo Maria [1 ,2 ]
Ruspi, Laura [1 ,2 ]
Fiore, Marco [3 ]
Sicoli, Federico [1 ,2 ]
Quagliuolo, Vittorio [2 ]
Gronchi, Alessandro [3 ]
机构
[1] Humanitas Univ, Dept Biomed Sci, Via Rita Levi Montalcini 4, I-20090 Pieve Emanuele Milan, Italy
[2] IRCCS Humanitas Res Hosp, Sarcoma Melanoma & Rare Tumors Surg Unit, Rozzano Milan, Italy
[3] Fdn IRCCS Ist Nazl Tumori, Dept Surg, Sarcoma Serv, Milan, Italy
关键词
INFERIOR VENA-CAVA; SOFT-TISSUE SARCOMA; SURGICAL-MANAGEMENT; LEIOMYOSARCOMA; RECONSTRUCTION; AORTA; REPLACEMENT; OUTCOMES; TUMORS; ANGIOSARCOMA;
D O I
10.1016/j.surg.2021.02.052
中图分类号
R61 [外科手术学];
学科分类号
摘要
Major blood vessels may be invaded either by primary sarcomas arising from the vessel wall or by secondary infiltration of a retroperitoneal sarcoma. The involvement of major blood vessels is not considered to be an absolute contraindication for surgical resection. The main issue when evaluating a possible major vascular resection is to balance the possible surgical morbidity with the expected survival benefit. This is strictly related to the tumor's biology and clinical behavior and to the patient's perfor-mance status and comorbidities. A multidisciplinary approach in a specialized center is mandatory when approaching a possible oncovascular resection for retroperitoneal sarcoma, given the rarity and the heterogeneity of these tumors. (c) 2021 Elsevier Inc. All rights reserved.
引用
收藏
页码:848 / 856
页数:9
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