Han Ahram, Ahn Sanghyun, Min Seung-Kee
Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
Vasc Specialist Int. 2019 Jun;35(2):60-69. doi: 10.5758/vsi.2019.35.2.60. Epub 2019 Jun 30.
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 vesselorigin tumors, a rescue surgeon treating complications during cancer surgery, and a consultant surgeon as a multidisciplinary team for cancer surgery. 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.
对于现代癌症手术实践而言，肿瘤血管外科（OVS）的概念非常重要，其定义为在切除肿瘤的同时结扎或重建主要血管结构。晚期癌症的肿瘤血管外科手术需要由专业的多学科团队执行专门的手术程序。肿瘤血管外科医生的职责总结如下：血管源性肿瘤的主刀医生、癌症手术期间处理并发症的救援医生以及作为癌症手术多学科团队的顾问医生。在诸如血管肉瘤、平滑肌肉瘤、静脉内平滑肌瘤病、腹膜后软组织肉瘤、癌症手术期间主要血管的医源性损伤、伴有血管侵犯的胰腺癌、肢体软组织肉瘤、黑色素瘤等复杂晚期疾病的病例中，血管外科医生必须在癌症手术中发挥主导作用。
