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William J. Quinones-Baldrich, MD

Arch Surg. 2006;141:924.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Dr Illuminati and colleagues have demonstrated that prosthetic replacement of the infrahepatic IVC after en bloc resection of leiomyosarcoma can be done safely. They had no mortality in this series of 11 patients. In addition, follow-up showed a very acceptable patency of the reconstruction as well as the absence of venous hypertension symptoms in patients with a patent graft. Interestingly, graft thrombosis was associated with the appearance of limb edema, suggesting that there was benefit from the caval reconstruction.

Reconstruction of the IVC at the time of tumor resection remains controversial. The experience of Dr Illuminati and colleagues supports proceeding with reconstruction, as it does not increase morbidity or mortality. I concur with their assessment that en bloc resection of these tumors will eliminate present and/or potential collateral circulation and thus increase the risk of postoperative lower limb edema. Certainly, when the resection includes the perirenal . . . [Full Text of this Article]

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RELATED ARTICLE

Prosthetic Replacement of the Infrahepatic Inferior Vena Cava for Leiomyosarcoma
Giulio Illuminati, Francesco G. Calio’, Antonio D’Urso, Daniela Giacobbi, Vassilios Papaspyropoulos, and Gianluca Ceccanei
Arch Surg. 2006;141(9):919-924.
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