Objective:
In the past wide excision of malignancy might be limited by the existence of adjacent major vessels or lack of capacity in soft tissue reconstruction. With the improvement and collaboration in cardiovascular surgery and plastic reconstructive surgery, many problems have been overcome to achieve radical excision. In this article, we report the result of serial cases who received artificial vessel graft and soft tissue reconstruction following wide excision of cancers in the groin or thigh

Materials and Methods:
The spectrum of patients include gynecology, urology, dermatology (such as melanoma and squamous cell carcinoma). The lesion at the groin or thigh area was proved by biopsy for either primary or secondary malignancy. PET CT and other image studies should be performed to rule out other sites of involvement. During surgery wide excision was done under the collaboration of gynecologist, urologist, general surgery, cardiovascular surgery and plastic surgery. The femoral artery and veins were excised by cardiovascular surgeon, and plastic surgeons completed the final procedure of reconstruction.
Results:
A series of 7 cases was collected for retrospective study between 1983 and 2018.
(please refer to document been attached)
Conclusion:
Artificial vessel graft allows for an extended dissection in eradication of local tumor and may help in tumor control. Patency of the artificial vessel grafts can be well established except for one patient who had occlusion of the artificial graft for femoral vein. Muscle flap is a good option for coverage of the vessel grafts because it conforms to the uneven surface of the artificial graft and provide good blood supply. The wound closure should be loose to prevent occlusion of femoral vein graft..
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