Vein Reconstruction at Resection of Malignant Bone and Soft Tissue Tumor of Femur

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  • 大腿部悪性骨・軟部腫瘍手術に伴う静脈再建術

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Abstract

<p>We encountered 2 cases of malignant bone and soft tissue tumor of the femur who required resection of the vein. In case 1, left superficial femoral vein and minor tissue resection with preservation of the great saphenous vein was performed. Her superficial femoral vein was not reconstructed, but she had no venous-related postoperative complains. In case 2, wide tissue resection including left common femoral vein, superficial femoral vein and great saphenous vein was performed. His femoral vein was reconstructed with an ePTFE graft. Moderate swelling remained in his left leg. Graft obstruction was recognized at 4 months after operation, but severe stasis was not recognized. However long-term patency of vein reconstruction is not fine, vein reconstruction may play an important role in venous return until the development of the collateral veins. Vein reconstruction is required in case whom preservation of deep femoral vein is impossible or in case of wide tissue resection with cutaneous veins, especially with great saphenous vein, ePTFE graft may be an option for reconstruction.</p>

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