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Title
1. Introduction
2. Exposure
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a. Perform Makuuchi Incision
b. Divide the Camper's and Scarpa's Fascia
c. Divide the Rectus Sheath
d. Tie off Inferior Epigastric Vessels
e. Enter Peritoneal Cavity
f. Set up Thompson Retractors
3. Mobilization
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a. Perform Kocher Maneuver
b. Mobilize Right Colon
c. Tie off Feeder Vessels of Tumor and Bleeders
d. Expose and Tie off Right Gonadal Vein
e. Mobilize Structures
f. Isolate Left Renal Vein
g. Tie off Branches of the Vena Cava
h. Ligate Right Renal Artery
i. Continue Retroperitoneal Dissection
4. Tumor Resection
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a. Review Progress
b. Harvest Muscle Sample for Research
c. Control Additional IVC Branches
d. Administer Heparin
e. Resect Tumor
f. Place Inferior Vena Cava Graft
g. Divide IVC and Left Renal Vein
h. Place Renal Vein Graft
5. Closure
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a. Create Omental Pedicle Flap
b. Remove Retractors
c. Close Abdominal Wall
d. Close Fascia
e. Close Skin
6. Post-op Remarks
7. Analysis of Sarcoma Margins
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Leiomyosarcoma of Inferior Vena Cava: Resection and Reconstruction
Madhukar S. Patel, MD, MBA, ScM
;
Jahan Mohebali, MD, MPH
;
Parsia A. Vagefi, MD, FACS
;
Alex B. Haynes, MD, MPH, FACS
Massachusetts General Hospital
Tags:
General Surgery
Vascular Surgery
Oncologic Surgery
Multidisciplinary Surgery
Main Text
Procedure Outline
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Authors
Madhukar S. Patel, MD, MBA, ScM
Jahan Mohebali, MD, MPH
Parsia A. Vagefi, MD, FACS
Alex B. Haynes, MD, MPH, FACS
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
7/24/2024
Article ID
184
Production ID
0184
Volume
2024
Issue
184
DOI
https://doi.org/10.24296/jomi/184