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To date, surgery is the only potentially curative treatment for IVCL with a 5\u2010year survival rate of 55%. The main challenge is to combine oncological surgery with clear margins and vascular reconstruction of the inferior vena cava (IVC). In this review, we discuss the different approaches to vascular reconstruction after IVCL resection, using a prosthetic or autologous patch, direct suture or simple ligation without IVC reconstruction. The reconstruction of IVC depends of tumor location and its extension. We recommend no reconstruction if venous collaterality is well\u2010established. When vascular reconstruction is required, we prefer prosthetic PTFE graft. These patients should be referred to high\u2010volume centers with a multidisciplinary team of sarcoma surgeons with cardiothoracic, vascular and hepatic specialties.<\/jats:p>","DOI":"10.1007\/s00268-020-05602-2","type":"journal-article","created":{"date-parts":[[2020,5,22]],"date-time":"2020-05-22T16:04:41Z","timestamp":1590163481000},"page":"3537-3544","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Inferior Vena Cava Leiomyosarcoma: What Method of Reconstruction for Which Type of Resection?"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0307-0368","authenticated-orcid":false,"given":"Elodie","family":"Gaignard","sequence":"first","affiliation":[{"name":"Service de Chirurgie h\u00e9patobiliaire Et Digestive CHU Rennes 2 Rue Henri le Guilloux 35000 Rennes France"},{"name":"Universit\u00e9 de Rennes 35000 Rennes 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