Seung-Kee Min
Nationality
South Korea
Current Position
Professor / Chairman, Dept. of Surgery
Organization
Seoul National University
Visceral / Miscellaneous Session

Topic: Critical role of vascular surgeons in OncoVascular Surgery

Abstract

Vascular surgeons can be useful in non-vascular surgery cases, especially in oncology where complete resection is important [1] For the modern practice of cancer surgery, the concept of oncovascular surgery (OVS), defined as cancer resection with concurrent ligation or reconstruction of a major vascular structure, can be very important. OVS for advanced cancers requires specialized procedures performed by a specialized multidisciplinary team. Roles of oncovascular surgeons are summarized as: a primary surgeon in vessel origin tumors, a rescue surgeon treating complications during cancer surgery, and a consultant surgeon as a multidisciplinary team for cancer surgery [2]. Vascular surgeons must show leadership in cancer surgery in cases of complex advanced diseases, such as angiosarcoma, leiomyosarcoma, intravenous leiomyomatosis, retroperitoneal soft tissue sarcoma, iatrogenic injury of the major vessels during cancer surgery, pancreatic cancer with vascular invasion, extremity soft tissue sarcoma, melanoma and others. As shown in recent study, Woo et al. [3] concluded that OVS enables gross resection of a tumor even in the presence of major vessel invasion. Emergency unplanned surgery had worse outcomes; therefore, pre-operative vascular consultation and multidisciplinary management are highly recommended for better patient outcomes.

Reference:
1. Han SM. Oncovascular surgery: There would be no such thigh without vascular surgeons. Vasc Specialist Int 2019;35:53-4.
2. Han A, Ahn S, Min SK. Oncovascular surgery: essential roles of vascular surgeons in cancer surgery. Vasc Specialist Int 2019;35:60-69.
3. Woo HY, Ahs S, Min S, et al. Crucial roles of vasculkar surgeons in oncovascular and non-vascular surgery. Eur J Vasc Endovasc Surg 2020;60:764-71.

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