Inferior vena cava resection and reconstruction for retroperitoneal tumor excision William Quinones-Baldrich, MD, Ali Alktaifi, MD, Fritz Eilber, MD,

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Presentation transcript:

Inferior vena cava resection and reconstruction for retroperitoneal tumor excision William Quinones-Baldrich, MD, Ali Alktaifi, MD, Fritz Eilber, MD, Frederick Eilber, MD Journal of Vascular Surgery Volume 55, Issue 5, Pages 1386-1393 (May 2012) DOI: 10.1016/j.jvs.2011.11.054 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Technique for reimplantation of renal vein onto ringed polytetrafluorethylene graft. Note preservation of rings up to the graft opening. Journal of Vascular Surgery 2012 55, 1386-1393DOI: (10.1016/j.jvs.2011.11.054) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 Cumulative graft patency in patients with inferior vena cava (IVC) resection and graft replacement according to imaging (last available ends the interval) or imaging and clinical information. Number in parentheses represents patients entering each interval. Black star indicates standard error >10%. Journal of Vascular Surgery 2012 55, 1386-1393DOI: (10.1016/j.jvs.2011.11.054) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Cumulative survival of 47 patient undergoing inferior vena cava (IVC) resection and repair for en bloc tumor excision. Number in parentheses represents patients entering each interval. Black star indicates standard error >10%. Journal of Vascular Surgery 2012 55, 1386-1393DOI: (10.1016/j.jvs.2011.11.054) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 4 Cumulative survival of patients according to type of inferior vena cava (IVC) resection and repair: group 1, primary IVC repair; group 2, patch IVC repair; group 3, circumferential resection with graft replacement. Number in parentheses represents patients entering each interval. Black star indicates standard error >10%. Journal of Vascular Surgery 2012 55, 1386-1393DOI: (10.1016/j.jvs.2011.11.054) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 5 A, Magnetic resonance image of 64-year-old man shows a retroperitoneal sarcoma involving the perirenal, suprarenal, and retrohepatic inferior vena cava. B, Reconstruction after inferior vena cava (IVC) resection done with 14-mm polytetrafluoroethylene ringed graft and reimplantation of both renal veins. Retrohepatic anastomosis was performed first, after hepatic vascular isolation and liver rotation. Journal of Vascular Surgery 2012 55, 1386-1393DOI: (10.1016/j.jvs.2011.11.054) Copyright © 2012 Society for Vascular Surgery Terms and Conditions