Personal technical considerations about en bloc pelvic resection

To the editor: I read with interest the article by Chang and Bristow [1], intitled “Surgical technique of en bloc pelvic resection for advanced ovarian cancer” and, also agreeing with the conclusions made by the authors, I would make two technical clarifications that I think can be useful for readers. 1. The superior hemorrhoidal vessels can be preserved, either because their visceral insertion is under the peritoneal pouch, and because the origin of the tumour doesn’t require a lymphadenectomy of this region, as in the case of cancer of the rectosigmoid junction. Moreover, the preservation of these vessels, when possible, ensures a better blood supply to the rectal stump. 2. Section of the distal rectum is easier with a Curved Cutter Stapler rather than with a linear one.