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Contralateral internal iliac artery transposition for retroperitoneal sarcoma involving common iliac artery

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Abstract

Complete resection for retroperitoneal sarcoma (RPS) involving major vessels frequently requires vascular resection and reconstruction. The use of artificial grafts often leads to postoperative vascular graft infection (VGI), which usually requires reoperation and sometimes leads to death. In the present study, the data of RPS patients who underwent contralateral iliac artery (IIA) transposition for reconstruction of the common iliac artery (CIA) after RPS resection from 2015–2019 were retrospectively analyzed. Clinical, intraoperative, and postoperative outcomes were described. Contralateral IIA transposition was performed to reconstruct the CIA after segmental resection in three patients. All patients underwent concomitant organ resection. Colon resection was performed for all patients, nephrectomy was performed for two patients, and segmental resection of the left ureter with transurethral ureterostomy was performed for one patient. Complete resection was achieved in all patients, and microscopic tumor infiltration to the CIA was observed in all patients (tunica adventitia: 2, tunica media: 1). No major complications occurred during the hospital stay. During the follow-up period (6.0–29.1 months), one patient died from tumor recurrence, and the other two patients did not have any evidence of recurrence or metastatic disease at the latest follow-up. The level of lower limb function was favorable (MSTS93 scores: 28–30). The pelvic organ functions, including bowel, bladder, and sexual functions, were not impaired in any of the patients. This novel technique in which contralateral IIA transposition is performed to reconstruct the CIA after RPS resection is simple and reliable and may be a good alternative to artificial grafts.

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Funding

This work was supported by the Beijing Municipal Administration of Hospital’s Ascent Plan [Grant number DFL20181104].

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Authors and Affiliations

  1. Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Sarcoma Center, Peking University Cancer Hospital and Institute, #52 Fu-Cheng-Lu Street, Hai-Dian District, Beijing, 100142, China

    Cheng-Peng Li, Bo-Nan Liu, Jian-Hui Wu & Chun-Yi Hao

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Contributions

CP-L and CY-H contributed to the study conception and design. Material preparation, data collection and data analysis were performed by BN-L and JH-W. The first draft of the manuscript was written by CP-L, and all authors reviewed previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Chun-Yi Hao.

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All procedures described herein were performed in accordance with the ethical standards of the institutional and national research committee and with the Helsinki Declaration and its later amendments or comparable ethical standards.

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Li, CP., Liu, BN., Wu, JH. et al. Contralateral internal iliac artery transposition for retroperitoneal sarcoma involving common iliac artery. Updates Surg 74, 1157–1163 (2022). https://doi.org/10.1007/s13304-020-00843-1

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  • DOI: https://doi.org/10.1007/s13304-020-00843-1

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