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The evolution of oncovascular pelvic surgery: A historical perspective
Affiliation:1. Department of Vascular Surgery, Concord Repatriation General Hospital, Sydney, Australia;2. Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia;3. Surgical Outcomes Research Centre (SOuRCe), Sydney, Australia;4. The Institute of Academic Surgery at RPA, Sydney, Australia;5. University of Sydney, New South Wales, Australia;1. Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, 4, 20090, Pieve Emanuele, MI, Italy;2. Otorhinolaryngology Unit, IRCCS Humanitas Research Hospital, Via Manzoni 56, Rozzano, MI, Italy;3. Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, South Korea;4. Unit of Otorhinolaryngology – Head and Neck Surgery, IRCCS Ospedale Policlinico San Martino, Genoa, Italy;5. Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, Italy;6. Department of Otorhinolaryngology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea;1. Division of Medical Education, School of Medical Sciences, University of Manchester, UK;2. Lancashire Teaching Hospitals NHS Foundation Trust, UK;3. Dept. of Gynaecologic Oncology, Division of Surgery and Cancer, Imperial College London, UK;4. Somerset NHS Foundation Trust, Taunton, Somerset, UK;5. Sheffield Teaching Hospital NHS Foundation Trust, UK;6. Division of Cancer Sciences, Medicine & Health, University of Manchester, M13 9WL, UK;7. Department of Obstetrics and Gynaecology, Manchester Academic Health Science Centre, Saint Mary''s Hospital, Oxford Rd, Manchester, M13 9WL, UK;1. Department of Pathology, Centre Georges-François Leclerc, 1 Rue du Professeur Marion, 21000, Dijon, France;2. Department of Surgery, Institut du Cancer de Montpellier, 208 rue des Apothicaires, 34298, Montpellier, France;3. Department of Surgery, Institut Curie, 26 Rue d''Ulm, 75005, Paris, France;4. Department of Surgery, Centre Léon Bérard, 28 Prom. Léa et Napoléon Bullukian, 69008, Lyon, France;5. Department of Surgery, Institut Bergonié, 229 Cours de l''Argonne, 33000, Bordeaux, France;6. Department of Surgery, Institut Gustave Roussy, 114 Rue Edouard Vaillant, 94800, Villejuif, France;7. Department of Surgery, Centre Hospitalier Universitaire hautepierre, 1 Avenue Moliere, 67000, Strasbourg, France;8. Department of Pathology, Institut Bergonié, 229 Cours de l''Argonne, 33000, Bordeaux, France;9. Department of Pathology, Centre Léon Bérard, 28 Prom. Léa et Napoléon Bullukian, 69008, Lyon, France;10. Department of Pathology, Institut Gustave Roussy, 114 Rue Edouard Vaillant, 94800, Villejuif, France;11. Department of Pathology, Institut Universitaire de Cancer de Toulouse Oncopole, avenue Irène Joliot-Curie, 31059, Toulouse, France;12. Department of Biostatistics, Centre Georges-François Leclerc, 1 Rue du Professeur Marion, 21000, Dijon, France;13. Department of Surgery, Centre Georges-François Leclerc, 1 Rue du Professeur Marion, 21000, Dijon, France;14. Department of Medical Oncology, Centre Georges-François Leclerc, 1 Rue du Professeur Marion, 21000, Dijon, France;1. Department of Surgery, Leiden University Medical Center, Leiden, the Netherlands;2. Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands;3. Department of Surgery, Netherlands Cancer Institute-Antoni van Leeuwenhoek, Amsterdam, the Netherlands;4. Department of Surgery, Reinier de Graaf Gasthuis, Delft, the Netherlands
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:Pelvic exenteration  Lateral compartment exenteration  Iliac vessel resection
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