Role of the Modern Vascular Surgeon in Oncologic Surgery
In this episode, we explore the role of vascular surgeons in oncologic surgery. We will be discussing the nuances of vascular involvement in oncologic resection, common practices, and future directions of this collaborative surgical culture.
Dr. Adam Beck (@AWBeckMD) is a vascular surgeon and Professor of Surgery at the University of Alabama at Birmingham where he serves as the Director of the Division of Vascular Surgery and Endovascular Therapy, holds the Holt A. McDowell, Jr, MD Endowed Chair in Vascular Surgery and serves as the Director of Quality and Associate Chief Medical Quality Officer for the UAB Cardiovascular Institute. Dr. Beck completed his general surgery residency training and a surgical oncology research fellowship at the University of Texas-Southwestern Medical Center. He trained in vascular surgery at the Dartmouth-Hitchcock Medical Center and then completed a fellowship in advanced endovascular techniques, including branched and fenestrated endografts for aortic aneurysmal disease, at the University Medical Center of Groningen in The Netherlands. You can learn more about Dr. Adam Beck here.
Dr. Xavier Berard (@XavierBerardMD) is a French vascular surgeon and serves as a Consultant in the Department of Vascular Surgery and Professor of Vascular and Endovascular Surgery in Bordeaux University Hospital in Bordeaux, France. He is board certified from the French College of Vascular and Endovascular Surgeons and from the European Society for Vascular and Endovascular Surgery. He has also completed a PhD in Vascular Biomaterials and has built a library of educational video content. He works closely with Institut Bergonié Bordeaux Cancer Center for sarcomas. You can see educational videos and learn more about Dr. Xavier Berard here
Dr. Sharif Ellozy (@SharifEllozy) is a vascular surgeon at the New York-Presbyterian/Weill Cornell Medical Center where he serves as Associate Professor of Clinical Surgery in the Division of Vascular and Endovascular Surgery, and Program Director of the Vascular Surgery Fellowship program. He is also one of the founders of Audible Bleeding. He is readily involved in oncologic resection at the Memorial Sloan Kettering Cancer Center and works closely with surgical oncologists on operative cases that have vessel involvement.
Authors/Interviewers:
Dr. Sree Kanna, MD - McGill, Montreal (@VulnerableAorta)
Dr. Nakia Sarad, DO, MS - New York-Presbyterian/Queens - Weill Cornell, New York (@NakSaradDO)
Editors:
Morgan Gold, MD,CM candidate - McGill, Montreal (@MorganSGold)
Ezra Schwartz, MD,CM, MS, MMSc-Med Ed candidate - Harvard, Boston (@EzraSchwartz10)
Helpful Resources:
To learn more about sarcoma resections, check out the Schwarzbach papers on lower extremity sarcomas1 and retroperitoneal sarcomas2
Click here to learn more about the NCCN Guidelines on Resectability of Pancreatic Cancers3
Click here to learn more about IVC Reconstruction Techniques in Oncologic Surgery4
Video of IVC Leiomyosarcoma Reconstructions here (courtesy of Dr. Berard)
Click here to learn more about the Renal Cell Carcinoma Mayo Staging System5
Click here to find the original article on the
Shamblin Classification for Carotid Body Tumors6
Check out this review paper on Oncovascular Surgery7
Check out this paper on spiral endografts here8
Video of spiral saphenous vein graft technique here (courtesy of Dr. Berard)
What other topics would you like to hear about? Let us know more about you and what you think of our podcast through our Listener Survey or email us at AudibleBleeding@vascularsociety.org.
Follow us on Twitter @audiblebleeding
Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.
Bibliography
1. Schwarzbach MHM, Hormann Y, Hinz U, et al. Results of limb-sparing surgery with vascular replacement for soft tissue sarcoma in the lower extremity. J Vasc Surg. 2005;42(1):88-97. doi:10.1016/j.jvs.2005.03.017
2. Schwarzbach MHM, Hormann Y, Hinz U, et al. Clinical results of surgery for retroperitoneal sarcoma with major blood vessel involvement. J Vasc Surg. 2006;44(1):46-55. doi:10.1016/j.jvs.2006.03.001
3. Hong SB, Lee SS, Kim JH, et al. Pancreatic Cancer CT: Prediction of Resectability according to NCCN Criteria. Radiology. 2018;289(3):710-718. doi:10.1148/radiol.2018180628
4. Ruiz CS, Kalbaugh CA, Browder SE, et al. Operative strategies for inferior vena cava repair in oncologic surgery. J Vasc Surg Venous Lymphat Disord. 2020;8(3):396-404. doi:10.1016/j.jvsv.2019.09.012
5. Blute ML, Leibovich BC, Lohse CM, Cheville JC, Zincke H. The Mayo Clinic experience with surgical management, complications and outcome for patients with renal cell carcinoma and venous tumour thrombus. BJU Int. 2004;94(1):33-41. doi:10.1111/j.1464-410X.2004.04897.x
6. Shamblin WR, ReMine WH, Sheps SG, Harrison EG. Carotid body tumor (chemodectoma). Clinicopathologic analysis of ninety cases. Am J Surg. 1971;122(6):732-739. doi:10.1016/0002-9610(71)90436-3
7. Han A, Ahn S, Min SK. Oncovascular Surgery: Essential Roles of Vascular Surgeons in Cancer Surgery. Vasc Spec Int. 2019;35(2):60-69. doi:10.5758/vsi.2019.35.2.60
8. Vuorela T, Vikatmaa P, Kokkola A, et al. Long Term Results of Pancreatectomy With and Without Venous Resection: A Comparison of Safety and Complications of Spiral Graft, End-to-End and Tangential/Patch Reconstruction Techniques. Eur J Vasc Endovasc Surg. 2022;64(2-3):244-253. doi:10.1016/j.ejvs.2022.04.006
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