Vascular reconstruction and major resection for malignancy.

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Abstract
TUMOR INFILTRATION of major arteries or veins has traditionally been considered a contraindication to complete cancer resection. However, many authors have demonstrated that vascular reconstruction in conjunction with resective cancer therapy has value.1-15 This is particularly true in the management of carcinoma invading the carotid artery,1,2 the axial extremity vessels,3,4,11 the renal vein,6-8 and the vena cava.9-12 Reconstruction of the involved portal vein during pancreaticoduodenectomy has also been used selectively with some success.13-15 Nevertheless, there is a paucity of reports that address vascular complications associated with major arterial or venous procedures performed during resection for carcinoma or for rescue of a complicated tumor resection. Therefore, the purpose of this study is to detail these vascular complications and the long-term outcomes in research subjects who underwent complex major resection for malignancy.