1. Complete resection and arterial reconstruction for primary sarcoma arising from superior mesenteric artery
- Author
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Shota Hasegawa, MD, Yoshikatsu Nomura, MD, PhD, Takuya Okada, MD, PhD, Hirochika Toyama, MD, PhD, Takumi Fukumoto, MD, PhD, and Kenji Okada, MD, PhD
- Subjects
Pleomorphic sarcoma ,Arterial reconstruction ,Complete resection ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
In the treatment of retroperitoneal sarcoma involving major vessels, complete resection with vascular reconstruction is challenging. We describe the case of a 72-year-old man who presented with 8 months of abdominal pain. Diagnostic workup revealed occlusion of the celiac trunk and the origin of the superior mesenteric artery due to a soft tissue sarcoma. Radical resection of the tumor and vessels was performed. Guided by intraoperative angiography, arterial reconstruction was performed without mesenteric ischemia. All arterial margins were negative. At the 6-year follow-up, the patient was alive with no evidence of recurrence.
- Published
- 2022
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