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The evolution of oncovascular pelvic surgery: A historical perspective

  • Saissan Rajendran
    Affiliations
    Department of Vascular Surgery, Concord Repatriation General Hospital, Sydney, Australia

    Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia

    Surgical Outcomes Research Centre (SOuRCe), Sydney, Australia

    University of Sydney, New South Wales, Australia
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  • Chu Luan Nguyen
    Affiliations
    Department of Vascular Surgery, Concord Repatriation General Hospital, Sydney, Australia

    University of Sydney, New South Wales, Australia
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  • Kilian G.M. Brown
    Affiliations
    Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia

    Surgical Outcomes Research Centre (SOuRCe), Sydney, Australia

    The Institute of Academic Surgery at RPA, Sydney, Australia

    University of Sydney, New South Wales, Australia
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  • Michael J. Solomon
    Correspondence
    Corresponding author. Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, PO Box M157, Missenden Road, NSW, 2050, Australia.
    Affiliations
    Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia

    Surgical Outcomes Research Centre (SOuRCe), Sydney, Australia

    The Institute of Academic Surgery at RPA, Sydney, Australia

    University of Sydney, New South Wales, Australia
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Published:January 17, 2023DOI:https://doi.org/10.1016/j.ejso.2023.01.018

      Abstract

      Pelvic exenteration surgery has evolved dramatically in recent decades and now represents the standard of care for many patients with advanced pelvic malignancy. Most recently the use of complex vascular resection and reconstructive techniques have been applied in advanced pelvic oncology surgery at specialist units and these oncovascular techniques are considered one of the frontiers in this field. This article summaries the historical evolution of oncovascular surgery in the pelvis and sets the scene for where this treatment is going. The role of vascular resection and reconstruction in curative treatment of advanced pelvic malignancy is an evolving area that is redefining the boundaries of what was historically thought possible.

      Keywords

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      References

        • Solomon M.J.
        Redefining the boundaries of advanced pelvic oncology surgery.
        Br J Surg. 2021; 108: 453-455
        • Rajendran S.
        • Brown K.G.M.
        • Solomon M.J.
        • Austin K.K.S.
        • Lee P.J.
        • Robinson D.
        • et al.
        Complete resection of the iliac vascular system during pelvic exenteration: an evolving surgical approach to lateral compartment excision.
        Br J Surg. 2021; 108: 885-887
        • Solomon M.J.
        • Brown K.G.
        • Koh C.E.
        • Lee P.
        • Austin K.K.
        • Masya L.
        Lateral pelvic compartment excision during pelvic exenteration.
        Br J Surg. 2015; 102: 1710-1717
        • Brunschwig A.
        • Walsh T.S.
        Resection of the great veins on the lateral pelvic wall.
        Surg Gynecol Obstet. 1949; 88: 498-500
        • Barber H.R.
        • Brunschwig A.
        Excision of major blood vessels at the periphery of the pelvis in patients receiving pelvic exenteration: common and/or iliac arteries and veins 1947 to 1964.
        Surgery. 1967; 62: 3
        • Yamada K.
        • Ishizawa T.
        • Niwa K.
        • Chuman Y.
        • Akiba S.
        • Aikou T.
        Patterns of pelvic invasion are prognostic in the treatment of locally recurrent rectal cancer.
        Br J Surg. 2001; 88: 988-993
        • Suzuki K.
        • Dozois R.R.
        • Devine R.M.
        • Nelson H.
        • Weaver A.L.
        • Gunderson L.L.
        Curative reoperations for locally recurrent rectal cancer.
        Dis Colon Rectum. 1996; 39: 730-736
        • Lopez-Kostner F.
        • Fazio V.W.
        • Vignali A.
        • Rybicki L.A.
        • Lavery I.C.
        Locally recurrent rectal cancer: predictors and success of salvage surgery.
        Dis Colon Rectum. 2001; 44: 173-178
        • Harji D.P.
        • Griffiths B.
        • McArthur D.R.
        • Sagar P.M.
        Surgery for recurrent rectal cancer: higher and wider?.
        Colorectal Dis: Off J Assoc Coloproctol Great Britain Ireland. 2013; 15: 139-145
        • Heriot A.G.
        • Byrne C.M.
        • Lee P.
        • Dobbs B.
        • Tilney H.
        • Solomon M.J.
        Extended radical resection: the choice for locally recurrent rectal cancer.
        Dis Colon Rectum. 2008; 51: 284-291
        • Moore H.G.
        • Shoup M.
        • Riedel E.
        • Minsky B.D.
        • Alektiar K.M.
        • Ercolani M.
        Colorectal cancer pelvic recurrences: determinants of resectability.
        Dis Colon Rectum. 2004; 47: 1599-1606
        • Wanebo H.J.
        • Whitehill R.
        • Gaker D.
        • Wang G.J.
        • Morgan R.
        • Constable W.
        Composite pelvic resection. An approach to advanced pelvic cancer.
        Arch Surg. 1987; 122: 1401-1406
        • Abdelsattar Z.M.
        • Mathis K.L.
        • Colibaseanu D.T.
        • Merchea A.
        • Bower T.C.
        • Larson D.W.
        Surgery for locally advanced recurrent colorectal cancer involving the aortoiliac axis: can we achieve R0 resection and long-term survival?.
        Dis Colon Rectum. 2013; 56: 711-716
        • Brown K.G.
        • Koh C.E.
        • Solomon M.J.
        • Qasabian R.
        • Robinson D.
        • Dubenec S.
        Outcomes after en bloc iliac vessel excision and reconstruction during pelvic exenteration.
        Dis Colon Rectum. 2015; 58: 850-856
        • Peacock O.
        • Smith N.
        • Waters P.S.
        • Cheung F.
        • McCormick J.J.
        • Warrier S.K.
        • et al.
        Outcomes of extended radical resections for locally advanced and recurrent pelvic malignancy involving the aortoiliac axis.
        Colorectal Dis. 2020; 22: 818-823
        • Lau Y.C.
        • Brown K.G.M.
        • Lee P.
        Pelvic exenteration for locally advanced and recurrent rectal cancer-how much more?.
        J Gastrointest Oncol. 2019; 10: 1207-1214
        • Bederman S.S.
        • Shah K.N.
        • Hassan J.M.
        • Hoang B.H.
        • Kiester P.D.
        • Bhatia N.N.
        Surgical techniques for spinopelvic reconstruction following total sacrectomy: a systematic review.
        Eur Spine J. 2013; 23: 305-319
        • Peacock O.
        • Smith N.
        • Waters P.S.
        • Cheung F.P.-Y.
        • McCormick J.J.
        • Warrier S.K.
        • et al.
        Preemptive femoral-femoral crossover grafting of artery and vein before pelvic exenterative surgery for locally advanced and recurrent pelvic malignancy involving the aortoiliac Axis.
        Dis Colon Rectum. 2020; 64: e2-e5
        • Yamada K.
        • Ishizawa T.
        • Niwa K.
        • Chuman Y.
        • Aikou T.
        Pelvic exenteration and sacral resection for locally advanced primary and recurrent rectal cancer.
        Dis Colon Rectum. 2002; 45: 1078-1084
        • Moore H.
        • Shoup M.
        • Riedel E.
        • Minsky B.D.
        • Alektiar K.M.
        • Ercolani M.
        • et al.
        Colorectal cancer pelvic recurrences: determinants of resectability.
        Dis Colon Rectum. 2004; 47: 1599-1606
        • Austin K.K.
        • Solomon M.J.
        Pelvic exenteration with en bloc iliac vessel resection for lateral pelvic wall involvement.
        Dis Colon Rectum. 2009; 52: 1223-1233
        • PelvEx Collaborative
        Surgical and survival outcomes following pelvic exenteration for locally advanced primary rectal cancer: results from an international collaboration.
        Ann Surg. 2019; 269: 315-332
        • PelvEx Collaborative
        Factors affecting outcomes following pelvic exenteration for locally recurrent rectal cancer.
        Br J Surg. 2018; 105: 650-657