PMC8226245_01
Preoperative assessment of Leiomyosarcoma. (A), ultrasonography showed haeato-caval mass; (B), echocardiogram showed lesion extending into right atrium; (C), cross section CT scan showed lesion in IVC; (D), sagittal section CT scan showed lesion extension and ascites; (E), coronal section CT scan of IVC lesion; (F), three-dimensional reconstruction showed lesion extension.
fonc-11-690617-g001.jpg
PMC8226245_01_fonc-11-690617-g001.jpg
f1
Preoperative three-dimensional (3D) reconstruction showed the extension of tumor involvement ( Figure 1 ).
Surgical resection of zone II-III leiomyosarcoma. (A), leiomyosarcoma protruding into right atrium; (B), en-bloc resection of IVC with whole liver; (C), bench resection of tumor and hypothermic perfusion; (D), IVC reconstruction with prosthetic graft; (E), hepatic veins' orifices after leiomyosarcoma resection; (F), re-implanted liver graft.
fonc-11-690617-g002.jpg
PMC8226245_01_fonc-11-690617-g002.jpg
f2
The hepatic inflow and outflow were disconnected for explanting the whole liver with the tumor ( Figures 2A, B ). The total CPB time was 84 min ( Figures 2C-E ). By this time, the clamps were removed and autograft was perfused ( Figure 2F ).