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May 8, 2026International Journal of Surgery0 citationsOpen Access

Outcomes of Combined Vascular and Flap Reconstruction After Sarcoma Resection

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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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Classification of Surgical Complications2004 · 31,447 citations
  2. 2Limb‐salvage surgery with vascular reconstruction after lower extremity sarcoma resection: A systematic review and meta‐analysis2020 · 31 citations
  3. 3Clinical outcomes after vascular reconstruction using synthetic grafts for limb salvage in patients with lower extremity sarcoma: a single-center retrospective experience2023 · 5 citations