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May 8, 2026International Journal of SurgeryOpen Access

Outcomes of combined vascular and flap reconstruction after lower extremity sarcoma resection involving major vessels

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Authors

MLMartin LhuairePJPierre JuliaIGIgnacio Garrido

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Overview

Monocentric retrospective study evaluates limb salvage and oncologic outcomes after vascular reconstruction in extremity sarcoma.

Key Points

  • This study aims to evaluate the outcomes of combined vascular and soft tissue reconstruction after sarcoma resection involving major vessels.
  • Monocentric retrospective series including patients undergoing en bloc sarcoma resection from December 2019 to December 2024.
  • Immediate vascular bypass (using autografts or allografts) and soft tissue flap (free or pedicled) reconstruction were performed.
  • Primary outcomes assessed were limb salvage, flap survival, and bypass patency; complications and wound healing time were also evaluated.
  • Achieved 100% limb salvage rate and 94% R0 resection with 100% flap survival and vascular bypass patency.
  • Distant metastases occurred in 35% of patients, with 6% dying from disease progression after a mean follow-up of 26 months.
  • Overall complication rate was 100%, with common issues including lymphedema (88%) and venous bypass thrombosis (65%).

Cite This Study

Lhuaire et al. (2026) studied this question.

synapsesocial.com/papers/69fd7e90bfa21ec5bbf06c47https://doi.org/10.1097/js9.0000000000005337
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