[Surgery of the major vessels in cancer patients]

The article generalizes 25-year experience in various vascular surgical interventions conducted on 159 oncological patients. Planned operations were conducted after thorough angiographic study in 42 patients (arteriolysis and phlebolysis in 11, thrombectomy in 13, plastics of the vessels in 18). Two patients died after thrombectomy. Embolization of the renal arteries was undertaken in 55 patients with renal carcinoma; there were no fatal outcomes. Various operations for iatrogenic injury to the vessels were carried out in 60 patients (lateral suture in 28, circular suture in 3, ligation of vessels in 18). In this group 11 patients (18.3%) died. The authors claim that large oncological centers should be equipped with the appropriate angiographic apparatuses and have trained angio-surgeons on their staff.