RT Journal
A1 Quinones-Baldrich WJ
T1 PRosthetic replacement of the infrahepatic inferior vena cava for leiomyosarcoma—invited critique
JF Archives of Surgery
JO Archives of Surgery
YR 2006
FD September 1
VO 141
IS 9
SP 924
OP 924
DO 10.1001/archsurg.141.9.924
UL http://dx.doi.org/10.1001/archsurg.141.9.924
AB 
Reconstruction of the IVC at the time of tumor resection remains controversial. The experience of Dr Illuminati and colleagues supports proceeding with reconstruction, as it does not increase morbidity or mortality. I concur with their assessment that en bloc resection of these tumors will eliminate present and/or potential collateral circulation and thus increase the risk of postoperative lower limb edema. Certainly, when the resection includes the perirenal vena cava, particularly on the right side, renal vein reconstruction should be performed.