Surgical treatment of retroperitoneal tumors involving vena cava inferior

Aim. Improve the results of surgical treatment of retroperitoneal tumors involving vena cava inferior.
Materials and methods. 18 patients with retroperitoneal tumors underwent vena cava inferior resection at the p.a. Herzen oncology institution from 2010 to 2016. Nine patients had leiomyosarcoma, 4 – liposarcoma, 2 – intraabdominal desmoid tumor and neuroblastoma, 1 – gastrointestinal stromal tumor. in all cases we observed involving vena cava inferior upper or below of renal vessels in tumor process.
Results. All patients had R0 surgical margin in vena cava wall. 8 patients were performed marginal resection vena cava and 8 – segmental. 3 patients underwent vena cava prosthesis and five patients were without reconstruction, it was determined good venous collateral system. Early complications developed in 4 patients and one of them died. the mean follow-up was 14 months (from 6 to 76). Three patients died from the disease progression and others are alive without signs of disease.
Conclusion. Involving vena cava inferior in tumor process is not a contraindication for surgical treatment. Complication rate is not high. The use of modern methods of reconstructive surgery allows to extend indication for surgical treatment retroperitoneal tumors.

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