{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T23:40:24Z","timestamp":1778802024093,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T00:00:00Z","timestamp":1660003200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Retroperitoneal tumors with involvement of the inferior vena cava (IVC) often require resection of the IVC to achieve complete tumor removal. This study evaluates the safety and efficacy of IVC ligation without caval reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective chart review of patients who underwent IVC ligation\u00a0(IVC\u2010Ligation) and IVC resection with reconstruction (IVC\u2010Reconstruction) at our institution between May 2004 and April 2021 was performed. Outcomes from the two surgical techniques were compared via univariate analysis using the Kruskal\u2013Wallis test for continuous variables and Fisher's exact test for categorical variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010nine\u00a0IVC\u2010Ligation and six\u00a0IVC\u2010Reconstruction surgeries were identified. There were no differences in baseline demographics, tumor characteristics, complication rates, postoperative morbidity, or overall 5\u2010year survival between groups. IVC\u2010Reconstruction patients were more likely to require intensive care unit admission (83% vs. 33%; <jats:italic>p<\/jats:italic>\u2009=\u20090.0257) and the IVC\u2010Ligation cohort had a tendency to present with nondebilitating postoperative lymphedema (35% vs. 0%; <jats:italic>p<\/jats:italic>\u2009=\u20090.1615), which resolved for most patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>IVC\u2010Ligation is a viable surgical option for select patients presenting with retroperitoneal tumors with IVC involvement and provides acceptable short\u2010 and medium\u2010term outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.27052","type":"journal-article","created":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T13:29:34Z","timestamp":1660051774000},"page":"1306-1315","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Resection of retroperitoneal tumors with inferior vena cava involvement without caval reconstruction"],"prefix":"10.1002","volume":"126","author":[{"given":"Arnold R.","family":"Palacios","sequence":"first","affiliation":[{"name":"Department of Urology Emory University School of Medicine Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0762-3388","authenticated-orcid":false,"given":"Benjamin N.","family":"Schmeusser","sequence":"additional","affiliation":[{"name":"Department of Urology Emory University School of Medicine Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Midenberg","sequence":"additional","affiliation":[{"name":"Department of Urology Emory University School of Medicine Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dattatraya","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Urology Emory University School of Medicine Atlanta Georgia 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