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Two-step arterial reconstruction technique for en bloc resection of a large retroperitoneal liposarcoma involving the common iliac artery

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Abstract

Retroperitoneal liposarcoma (RPLS) is a rare but challenging neoplasm, which is frequently associated with iliac vessel invasion. We describe how we used a two-step arterial reconstruction technique to perform en bloc resection of a large RPLS involving the iliac arteries in three patients. A temporal long in situ graft bypass was established using a prosthetic vascular graft during dissection of the tumor. This bypass provided an unobscured surgical field, while maintaining blood flow in the lower limb during the operation. After removal of the tumor and washing out the abdominal cavity, the new prosthetic vascular graft of a suitable length was placed. No graft-related complications, including vascular graft infection or graft occlusion, occurred during the follow-up period. This novel technique appears to provide a safe and effective way to remove large RPLSs involving the retroperitoneal major vessels.

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Authors and Affiliations

  1. Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, Aichi, 466-8550, Japan

    Masaki Sunagawa, Yukihiro Yokoyama, Takashi Mizuno, Junpei Yamaguchi, Shunsuke Onoe, Nobuyuki Watanabe, Shoji Kawakatsu & Tomoki Ebata

  2. Division of Vascular Surgery and Endovascular Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan

    Hiroshi Banno & Masayuki Sugimoto

Authors
  1. Masaki Sunagawa
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  2. Yukihiro Yokoyama
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  3. Hiroshi Banno
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  4. Masayuki Sugimoto
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  5. Takashi Mizuno
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  6. Junpei Yamaguchi
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  7. Shunsuke Onoe
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  8. Nobuyuki Watanabe
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  9. Shoji Kawakatsu
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  10. Tomoki Ebata
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Corresponding author

Correspondence to Masaki Sunagawa.

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Conflict of interest

We have no conflicts of interest to disclose in relation to this manuscript. Masaki Sunagawa and Yukihiro Yokoyama are endowed as chair of the Division of Perioperative Surgery (Yakult Honsha).

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Sunagawa, M., Yokoyama, Y., Banno, H. et al. Two-step arterial reconstruction technique for en bloc resection of a large retroperitoneal liposarcoma involving the common iliac artery. Surg Today 53, 1320–1324 (2023). https://doi.org/10.1007/s00595-023-02684-y

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  • DOI: https://doi.org/10.1007/s00595-023-02684-y

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