PURPOSE: Invasion of the inferior vena cava (IVC) by @entity5 is generally considered a criterion of unresectability. This study was designed to review the outcomes of a strategy of aggressive resection of the vena cava to achieve complete @entity5 resection coupled with prosthetic graft placement to re-establish caval flow. METHODS: Retrospective review of @entity1 treated at a university referral center. Ten @entity1 (mean age 54; eight females, two males) underwent @entity5 resection that involved circumferential resection of the IVC and immediate prosthetic replacement with ringed @entity736 ( @entity736 ) grafts ranging in diameter from 12 to 16 mm. RESULTS: Seven @entity1 had replacement of the infrarenal IVC, two of their suprarenal IVC, and one had reconstruction of the IVC bifurcation. Four of the 10 @entity1 received preoperative chemotherapy, and none received radiotherapy. The most common (7/10) pathologic diagnosis was @entity1822 arising from the IVC or retroperitoneum. Additional diagnoses included @entity44 (one), @entity1358 (one), and @entity706 (one). There were no perioperative @entity204 , and one complication (prolonged ileus) occurred. Mean length of stay was 8.1 days. Anticoagulation was not routinely used intraoperatively or postoperatively. Follow-up (mean duration = 19 months) demonstrated that survival was 80% (8/10) and 88% (7/8) of @entity1 were free of @entity432 . CONCLUSION: Resection of the IVC with prosthetic reconstruction allows for complete @entity5 resection and provides durable relief from symptoms of @entity432 .

Prosthetic replacement of the inferior vena cava for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity706 :: ('MESH:D008223', 'Disease') :: ['adrenal lymphoma'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity1822 :: ('MESH:D007890', 'Disease') :: ['leiomyosarcoma'] @entity1358 :: ('MESH:D002292', 'Disease') :: ['renal cell carcinoma'] @entity432 :: ('MESH:D001157', 'Disease') :: ['venous obstruction', 'venous obstructive symptoms'] @entity736 :: ('CHEBI:53251', 'Chemical') :: ['PTFE', 'polytetrafluoroethylene'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths'] @entity44 :: ('MESH:D013724', 'Disease') :: ['teratoma']
@entity5 :: (MESH:D009369,Disease) :: ['malignancy']
