0 42

Cited 0 times in

Venous Reconstruction in Extremity Soft Tissue Sarcoma Is Not Essential

DC Field Value Language
dc.contributor.author허선희-
dc.date.accessioned2024-05-30T07:07:09Z-
dc.date.available2024-05-30T07:07:09Z-
dc.date.issued2023-05-
dc.identifier.issn1538-5744-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/199569-
dc.description.abstractObjective Limb salvage is an important concern following complete oncologic resection for extremity soft tissue sarcoma (STS). Vascular reconstruction is essential for limb salvage. The purpose of this study was to evaluate the outcomes of vascular reconstruction in patients with extremity STS. Methods This is a retrospective, multi-center, case series of consecutive patients who underwent vascular reconstruction during extremity STS resection at 2 major centers in Korea. Demographics, reconstruction methods, type of conduit, surgical complications, graft patency, limb salvage rate, and patient survival were reviewed. Results From March 2005 to December 2020, 43 patients underwent vascular reconstructions during STS resection. Among the patients, 22 (51.2%) received arterial only, and 21 (48.8%) received simultaneous arterial and venous reconstructions. For the types of conduits, autologous saphenous veins (56.2%), artificial grafts (26.3%), and cryopreserved allografts (15.8%) were used. During a median follow-up of 23.8 months (interquartile range; 7.7-54.5), the overall primary patency of the reconstructed vessels was significantly higher in arteries than in veins (82.5% vs 56.3% at 12 months, P < .001). According to the type of conduit, the primary patency rate of autogenous vein seemed higher in venous reconstruction, however, there was no statistical significance in both arterial and venous reconstruction. There was no significant difference in primary arterial patency rate (P = .132) or incidence of surgical complications including postoperative edema or wound problem whether or not simultaneous venous reconstruction was performed with arterial reconstruction. The overall limb salvage rate and patient survival were 97.4%, 95.1%, and 89.4% and 91.9%, 81.7%, and 65.4% at 12, 24, and 36 months, respectively. Conclusions Patency rates were poorer in venous reconstruction than in arterial reconstruction. In terms of arterial patency and postoperative complication, the role of simultaneous arterial and venous reconstruction seems not essential, however, it needs to be evaluated in future studies.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSage Publications-
dc.relation.isPartOfVASCULAR AND ENDOVASCULAR SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHExtremities / surgery-
dc.subject.MESHHumans-
dc.subject.MESHLimb Salvage*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSaphenous Vein / transplantation-
dc.subject.MESHSarcoma* / surgery-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHVascular Patency-
dc.titleVenous Reconstruction in Extremity Soft Tissue Sarcoma Is Not Essential-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorJihee Kang-
dc.contributor.googleauthorKwang Woo Choi-
dc.contributor.googleauthorAhram Han-
dc.contributor.googleauthorSangil Min-
dc.contributor.googleauthorSeon-Hee Heo-
dc.contributor.googleauthorShin-Seok Yang-
dc.contributor.googleauthorYang-Jin Park-
dc.contributor.googleauthorSeung-Kee Min-
dc.identifier.doi10.1177/15385744221150737-
dc.contributor.localIdA06155-
dc.relation.journalcodeJ04607-
dc.identifier.eissn1938-9116-
dc.identifier.pmid36592476-
dc.identifier.urlhttps://journals.sagepub.com/doi/10.1177/15385744221150737-
dc.subject.keywordlimb salvage-
dc.subject.keywordsarcoma-
dc.subject.keywordvascular reconstruction-
dc.contributor.alternativeNameHeo, Seon-Hee-
dc.contributor.affiliatedAuthor허선희-
dc.citation.volume57-
dc.citation.number4-
dc.citation.startPage365-
dc.citation.endPage372-
dc.identifier.bibliographicCitationVASCULAR AND ENDOVASCULAR SURGERY, Vol.57(4) : 365-372, 2023-05-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.