Abdominal aortic aneurysm and associated colorectal carcinoma: a management problem.
Abdominal aortic aneurysm and associated colorectal carcinoma: a management problem.
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腹主动脉瘤和相关结直肠癌：一个管理问题。
DOI：
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Eric Lippey
中科院分区：
文献类型：
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作者：
Gregory Robinson;Walter Hughes;Eric Lippey
人口年龄的增长导致多器官疾病的发生率增加。结直肠癌（CRC）和腹主动脉瘤（AAA）在同一个病人是一个困难的管理问题。10年来，23例CRC和AAA患者在协和医院接受治疗。这些患者的管理和结果进行了审查，以确定一个最佳的计划，为患者的两种条件。患者的平均年龄为71岁，范围为52至90岁。该系列中只有1例女性患者。在19例患者中，AAA和CRC是同步的，而在其他4例患者中，AAA和CRC是远程事件。在同时患有AAA和CRC的患者组中。12例术前诊断为两种疾病。然而，在7例病例中，在手术中发现了其他疾病的非预期AAA或CRC。16名患者接受了CRC切除术，而只有8名患者接受了AAA修复术。CRC切除术后有3例死亡，AAA切除术后有2例死亡，同时CRC切除术和AAA修复术后有1例死亡。10例接受CRC切除术的大型（> 6 cm）AAA患者中有2例在术后发生AAA破裂。另一例患者在CRC切除术后10个月破裂。当同时发现这些情况时，结肠直肠癌优先于AAA。目前的研究表明，大的AAA（> 6 cm）应给予优先治疗，或同时切除，因为破裂的风险很高。
The increasing age of the population has led to the more common occurrence of multi-organ disease. Colorectal cancer (CRC) and abdominal aortic aneurysm (AAA) in the same patient is a difficult management problem. Over 10 years, 23 patients with CRC and AAA were treated at Concord Hospital. The management and outcome of these patients was reviewed to identify an optimum plan for patients with both conditions. The average age of patients was 71 years, ranging from 52 to 90 years. There was only one female patient in the series. In 19 of the patients, the AAA and CRC were synchronous, while in the other four patients the AAA and CRC were remote events. Within the group of patients with synchronous AAA and CRC. 12 had the diagnosis of both conditions made pre-operatively. However, in seven cases an unexpected AAA or CRC was found at operation for the other condition. Sixteen patients underwent resection of the CRC, while only eight underwent repair of the AAA. There were three deaths following CRC resection, two following AAA resection, and one following simultaneous CRC resection and AAA repair. Two of 10 patients with large (> 6 cm) AAA, who underwent CRC resection, ruptured the AAA in the postoperative period. A further patient ruptured 10 months following CRC resection. Colorectal cancer was given priority over AAA when these conditions were found simultaneously. The present study suggests that a large AAA (> 6 cm) should be either given preferential treatment, or resected simultaneously, in view of the high risk of rupture.
腹主动脉瘤修复术与第二次外科手术相结合——发病率和死亡率。
影响因子：
3.8
作者：
Bickerstaff,LK;Hollier,LH;VanPeenen,HJ;Melton,LJ;Pairolero,PC;Cherry,KJ
通讯作者：
Cherry,KJ