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Major vessel resection during limb-preserving surgery for soft tissue sarcomas
C P Karakousis1, C Karmpaliotis, D L Driscoll
1Department of Surgical Oncology, State University of New York at Buffalo, Millard Fillmore Hospital, New York 14209, USA.
World Journal of Surgery
|March 1, 1996
Summary
Major vessel resection during limb preservation surgery for extremity soft tissue sarcomas is feasible. This approach avoids amputation and achieves comparable outcomes to tumors without vascular involvement.
Area of Science:
- Oncology
- Vascular Surgery
- Orthopedic Oncology
Background:
- Uncertainty exists regarding the necessity of amputation for extremity soft tissue sarcomas involving major vessels.
- Limb preservation is a key goal in treating these challenging tumors.
Purpose of the Study:
- To evaluate the safety and efficacy of major vessel resection in conjunction with limb preservation for extremity soft tissue sarcomas.
- To determine if major vessel involvement necessitates amputation.
Main Methods:
- Retrospective review of 21 patients with extremity soft tissue sarcomas requiring major vessel resection.
- Analysis of surgical techniques, postoperative complications, local recurrence rates, and survival outcomes.
Main Results:
- Major vessels resected included iliac, femoral, and subclavian vessels.
- Postoperative wound infection occurred in 24% of patients; graft complications were managed conservatively.
- Local recurrence rate was 14%, with one amputation required; 5-year survival rate was 63%.
Conclusions:
- Major vessel involvement in extremity soft tissue sarcomas does not inherently mandate amputation.
- En bloc resection of major vessels allows for limb preservation with oncologic and survival outcomes comparable to cases without vascular compromise.