ArticleJournal of surgical oncology2018
Resection of retroperitoneal sarcoma en-bloc with inferior vena cava: 20 year outcomes of a single institution.
Article in Journal of surgical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Aggressive surgical approach with vascular resection and reconstruction for retroperitoneal sarcomas: a systematic review.BMC surgery · 2023Pooled it
- The Two-Decade Experience of Oncovascular Reconstruction in Patients with Retroperitoneal Sarcoma.Annals of vascular surgery · 2025Article
- Retroduodenal lymphangiomyoma: A rare cause of abdominal pain - A case report.International journal of surgery case reports · 2025Article
- Aggressive surgical approach with major vascular resection for retroperitoneal sarcomas.PloS one · 2025Article
- Surgical outcomes of major vascular resection for retroperitoneal liposarcoma from a high‑volume sarcoma center: a propensity score matching analysis.Journal of cancer research and clinical oncology · 2024Article
- Resection of previously inoperable retroperitoneal liposarcoma.BMJ case reports · 2023Article
- A Systematic Review and Meta-Analysis of Surgery for Retroperitoneal Sarcoma With Vascular Resection.Cureus · 2023Review
- Impact of retroperitoneal tumors on the digestive tract (Review).Experimental and therapeutic medicine · 2022Review
- Approaches to reconstruction of inferior vena cava byWorld journal of gastroenterology · 2022Article
- Contralateral internal iliac artery transposition for retroperitoneal sarcoma involving common iliac artery.Updates in surgery · 2022Article
- Intravascular Ultrasound for the Evaluation and Management of Retroperitoneal, Genitourinary Malignancies.Current urology reports · 2022Review
- Novel use of the falciform ligament for reconstruction of the inferior vena cava and its tributary.Journal of vascular surgery cases and innovative techniques · 2021Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundMargin negative resection offers the best chance of long-term survival in retroperitoneal sarcoma (RPS). En-bloc resection of adjacent structures, including the inferior vena cava (IVC), is often required to achieve negative margins. We review our 20-year experience of en-bloc IVC and RPS resection.
methodsRetrospective review of patients with RPS resection involving the IVC were matched 1:3 by age and histology to RPS without IVC resection. Prognostic factors for overall survival (OS) and disease free survival (DFS) were assessed.
resultsThirty-two patients underwent RPS resection en-bloc with IVC. They were matched with 96 cases of RPS without IVC resection. Median OS of 59 months and DFS 18 months in IVC resection group was comparable to RPS resection without vascular involvement: median OS 65 months, DFS 18 months (P = 0.519, P = 0.604). On multivariate analyses, R2 margin (OS: HR = 6.52 [95%CI: 1.18-36.09], P = 0.032) was associated with inferior OS. R2 margin and increased number of organs resected (DFS: HR = 5.07, [1.15-22.27], P = 0.031, HR = 1.28 [1.01-1.62], P = 0.014) were associated with inferior DFS. Reconstructions included graft (n = 19, 59%), patch (n = 4, 13%), primary repair (n = 6, 19%), and ligation (n = 4, 13%).
conclusionsRPS resection en-bloc with IVC can achieve equivalent rates of DFS and OS to patients without vascular involvement.
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