Oncovascular Surgery: Essential Roles of Vascular Surgeons in Cancer Surgery

Han, Ahram; Ahn, Sanghyun; Min, Seung-Kee

doi:10.5758/vsi.2019.35.2.60

Cited by 35 publications

(29 citation statements)

References 36 publications

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“…Following the surgery, edema was clinically evident in about 40% of the treated cases, no difference has been observed between the two different treatments respectively veins treated with grafting or with ligation as Schwarzbach and Tsukushi [4,5]. In our experience 4/26 patients presented postoperative edema with the same characteristics.…”

Section: Journal Of Surgery and Research 149mentioning

confidence: 52%

Oncovascular Surgery-The Multidisciplinary Approach: Surgical Resection of the Musculoskeletal Tumor and Associated Revascularization

Andrea¹,

Lorenzo²,

Citoni³

et al. 2019

J Surg Res

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Introduction:The possibility of preserving the limb during the definitive removal operation in the case of sarcoma is a goal pursued in a multidisciplinary perspective. The aim of the study is to report our experience gained in collaboration with the IFO oncology orthopedic division and with the operating units of Orthopedics A and B of the Tor Vergata Policlinico, reporting the results and complications of the procedures performed.Methods: From 2011 to 2014, 30 patients treated had primitive and secondary musculoskeletal neoplasm with a mean age of 44 years (14-67 years) in 26 cases (86.6%) were required revascularization. Women accounted for 53.84% (14/26), 46.16% were men (12/26). The preoperative study included a biopsy of the lesion and ultrasonography and angio-CT with multiplanar reconstructions for the evaluation of the vascular anatomy and neoplasia extension. Results:The average postoperative follow-up was 19.4 months. The reconstruction of the vessels has been implemented in 12/26 (46%) mainly using the autologous saphenous contralateral vein. The use of the prosthesis was performed in the others cases (with PTFE and Dacron K prosthesis). In 4 cases the patients had lower limb edema, with a distance venous patency of 80% and arterial patency of 100%. We had no mortality at 30 days. Two patients underwent VAC therapy. No amputations had at 30 days. In 14 patients were perform chemotherapy or radiotherapy before and after surgery. Conclusions:A long-term evaluation is needed to determine the implications at distance. In case of involvement of

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Section: Journal Of Surgery and Research 149mentioning

confidence: 52%

Oncovascular Surgery-The Multidisciplinary Approach: Surgical Resection of the Musculoskeletal Tumor and Associated Revascularization

Andrea¹,

Lorenzo²,

Citoni³

et al. 2019

J Surg Res

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“…Although it is therefore a rare necessity, this type of involvement requires vascular surgery skills that must be considered. (1,2)…”

Section: Introductionmentioning

confidence: 99%

Strategy to preserve function in lower limbs tumors resection. Vascular competence in multidisciplinary approach

Marchetti

Giulio

Oddi

et al. 2020

Preprint

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IntroductionAll possible strategy should be adopted to preserve limb function during the definitive removal operation in the case of limbs sarcoma. Multidisciplinary perspective seems to be the ideal choice. The aim of the study is to report our experience gained in collaboration with the IFO oncology orthopedic division and with the operating units of Orthopedics A and B of our institution, reporting the type of intervention, results and complications of the procedures performed.Material and methodsFrom 2011 to 2019, were treated 32 patients affected by primitive and secondary musculoskeletal neoplasm with a mean age of 44 years (14-67 years) in 28 cases (87.5%) were required revascularization. Women accounted for 46.9% (15/32), 53.1% were men (17/32). The preoperative study included a biopsy of the lesion and ultrasonography and CTA with multiplanar reconstructions for the evaluation of the vascular anatomy and neoplasia extension.ResultsThe average postoperative follow-up was 20.1 months. The reconstruction of the vessels has been implemented in 14/32 (43.7%) mainly using the autologous saphenous contralateral vein. The use of the prosthesis was performed in the others cases (with PTFE and Dacron K prosthesis). In 5 cases (15.6%) the patients had lower limb edema, with a distance venous patency of 26/32 (81.2%) and arterial patency of 100%. We had no mortality at 30 days. Two patients underwent VAC therapy. No amputations were performed at 30 days. In 14 patients was performed perioperative chemotherapy or radiotherapy.ConclusionsA long-term evaluation is needed to determine the implications at distance, in patients undergoing radical resection of cancer in which are necessary for skills vascular surgery. The long term result is conditioned by the prognosis of neoplasm. The multidisciplinary approach is always requested.

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“…A clear example is the treatment of tumors that lie close to major axial vessels. In the previous issue of Vasc Specialist Int , Han et al [1] and Han [2] made the effort to direct the spotlight on the relevance of “oncovascular surgery (OVS)”. These patients are at the margin of four established subspecialties (Fig.…”

Section: Introductionmentioning

confidence: 99%

Oncovascular Surgery and the Making of the Oncovascular Surgeon

Sallam

Khairy

2019

VSI

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Patients diagnosed with tumors that are located in vicinity of the major axial vessels are inconsistently managed because they are often considered unresectable. The management of these patients remains at the periphery of various established sub-specialties that are prevalent under the current medical specialty. These patients are required to be treated by an oncovascular surgeon. This article discusses some key points in understanding the reasons for establishing a specialty branch, oncovascular surgery, to treat complex tumors with vessel invasion. This article also reviews important issues about leadership and how to train and educate oncovascular surgeons.

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Oncovascular Surgery: Essential Roles of Vascular Surgeons in Cancer Surgery

Cited by 35 publications

References 36 publications

Oncovascular Surgery-The Multidisciplinary Approach: Surgical Resection of the Musculoskeletal Tumor and Associated Revascularization

Oncovascular Surgery-The Multidisciplinary Approach: Surgical Resection of the Musculoskeletal Tumor and Associated Revascularization

Strategy to preserve function in lower limbs tumors resection. Vascular competence in multidisciplinary approach

Oncovascular Surgery and the Making of the Oncovascular Surgeon

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