title: Management of vascular involvement in extremity soft tissue sarcoma.
abstract: Advances in adjuvant treatment protocols and improvements in imaging techniques have helped improve the limb-salvage rate for extremity soft tissue sarcomas to approximately 95%. Moreover, improvements in operative techniques have enabled successful limb-salvage surgery to be performed even in the face of vascular invasion or encasement by tumor. En bloc resection of major vascular structures with the tumor and reconstruction with reversed saphenous vein grafts, femoral venous grafts, or synthetic grafts has proved to be a feasible option in limb-salvage surgery. However, the surgical oncologist and patient should be aware that although overall function is only slightly worse after these procedures, individual functional results are less predictable. In addition, procedures requiring vascular resection and reconstruction are associated with an increased risk of complications, including amputation.
authors.affiliation: Department of Orthopaedics, Glasgow Royal Infirmary, Glasgow, UK.
authors.forename: Ashish
authors.initials: A
authors.lastname: Mahendra
authors.forename: Yair
authors.initials: Y
authors.lastname: Gortzak
authors.forename: Peter C
authors.initials: PC
authors.lastname: Ferguson
authors.forename: Benjamin M
authors.initials: BM
authors.lastname: Deheshi
authors.forename: Thomas F
authors.initials: TF
authors.lastname: Lindsay
authors.forename: Jay S
authors.initials: JS
authors.lastname: Wunder
mesh_terms: D005121:Extremities / Q000098:blood supply*; D006801:Humans; D012509:Sarcoma / Q000601:surgery*; D014656:Vascular Surgical Procedures