Abstract
Pelvic exenteration offers potentially curative treatment for locally advanced and
recurrent pelvic tumours. Laterally infiltrating tumours involving the pelvic sidewall
have historically been considered unresectable. Highly specialised exenteration units
have accumulated experience with en bloc resection of part or all of the iliac vascular
system for tumours with major vessel involvement. These approaches involve complex
vascular dissection and reconstructive techniques requiring collaboration with the
vascular surgery unit. Adding to the complexity is the paucity of evidence on oncovascular
techniques in the pelvis given its developing nature. An algorithm for the workup
to determine resectability and the vascular reconstruction approach for advanced pelvic
tumours involving the aortoiliac axis is suggested based on current literature and
personal experience from the authors’ unit.
Keywords
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Article info
Publication history
Published online: March 11, 2023
Accepted:
March 9,
2023
Received:
February 17,
2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.
