title: [Complex pelvic and sarcoma surgery with vascular replacement].
abstract: Due to optimization of surgical techniques in surgical oncology and vascular surgery, the most modern approaches of anesthesia and intensive care medicine and effective multimodal therapeutic strategies, locally advanced malignant tumors are resected more frequently with a potentially curative intent. In the case of extensive tumors with infiltration of vital vascular structures or of structures which are crucial for extremity preservation, the necessary surgical procedure for complete tumor removal poses a major challenge for the surgeon and incorporates a high risk of perioperative morbidity for the patient. The decision to attempt tumor resection should therefore always be based on a concept considering all aspects of the malignant disease. The treating team should be highly experienced in this complex field of surgery, not only with respect to the surgical approach but also regarding the management of postoperative complications. In this article relevant aspects of decision making, surgical technique and postoperative outcome for malignant tumors involving vascular structures of the retroperitoneum and pelvis are presented.
authors.affiliation: Klinik für Viszeral-, Thorax- und Gefäßchirurgie, Universitätsklinikum Carl Gustav Carus Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland. steffen.pistorius@uniklinikum-dresden.de.
authors.forename: S
authors.initials: S
authors.lastname: Pistorius
authors.affiliation: Klinik für Viszeral-, Thorax- und Gefäßchirurgie, Universitätsklinikum Carl Gustav Carus Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
authors.forename: Ch
authors.initials: Ch
authors.lastname: Reeps
authors.affiliation: Klinik für Viszeral-, Thorax- und Gefäßchirurgie, Universitätsklinikum Carl Gustav Carus Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Weitz
mesh_terms: D001012:Aorta, Abdominal / Q000473:pathology / Q000601:surgery; D003131:Combined Modality Therapy; D003661:Decision Support Techniques; D006394:Hemangiosarcoma / Q000098:blood supply / Q000473:pathology / Q000556:secondary / Q000601:surgery; D006801:Humans; D007890:Leiomyosarcoma / Q000098:blood supply / Q000473:pathology / Q000556:secondary / Q000601:surgery; D009361:Neoplasm Invasiveness; D010386:Pelvic Neoplasms / Q000098:blood supply* / Q000473:pathology / Q000601:surgery*; D012186:Retroperitoneal Neoplasms / Q000098:blood supply / Q000473:pathology / Q000556:secondary / Q000601:surgery; D012509:Sarcoma / Q000098:blood supply* / Q000473:pathology / Q000556:secondary / Q000601:surgery*; D019043:Vascular Neoplasms / Q000098:blood supply* / Q000473:pathology / Q000556:secondary / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: Angiosarcoma; Local control; Malignant vascular tumors; Vascular infiltration; Vascular reconstruction