One-stage surgical management of concomitant abdominal aortic aneurysm and gastric or colorectal cancer
One-stage surgical management of concomitant abdominal aortic aneurysm and gastric or colorectal cancer
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DOI：
10.1007/s00268-001-0244-8
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发表时间：
2002-04-01
影响因子：
2.6
通讯作者：
Kitajima, M
中科院分区：
文献类型：
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作者：
Matsumoto, K;Murayama, T;Kitajima, M
一期手术治疗并发腹主动脉瘤（AAA）和胃癌或结直肠癌应提供一定的好处。我们回顾了21例接受一期手术治疗的AAA和胃癌或结直肠癌患者的记录。远端胃切除术4例，全胃切除术2例，经腹膜腹会阴直肠切除术5例；3例全胃经腹膜切除，腹外修复。2例接受了右结肠切除术和排除AAA血栓。2例进行了临时回肠造口和植入间置移植物。两名患者接受了左结肠切除术，创造了一个临时的横造口，并植入了一个间置移植物。1例采用Hartmann手术并植入分叉假体间置移植物治疗AAA。无手术死亡或严重的术后并发症。1例患者有结肠缺血，经保守治疗痊愈。21例患者中有18例（85.7%）术后10个月至14年存活。综上所述，一期手术治疗AAA合并胃癌或结直肠癌耐受性好，可避免时间浪费。第二次手术的经济成本和病人的焦虑。
One-stage surgical management of concomitant abdominal aortic aneurysm (AAA) and gastric or colorectal cancer should provide certain benefits. We reviewed the records of 21 patients with both AAA and gastric or colorectal cancer who underwent one-stage surgical management. Four had distal gastrectomy, 2 had total gastrectomy, and 5 had abdominoperineal rectal resection transperitoneally; 3 had total gastrectomy transperitoneally and AAA repair extraperitoneally. Two underwent right hemicolectomy and thromboexclusion of the AAA. Two had creation of a temporary ileostomy and implantation of an interposition graft. Two underwent left hemicolectomy, creation of a temporary transversostomy, and implantation of an interposition graft. One had a Hartmann's procedure and implantation of a bifurcated prosthetic interposition graft for AAA. There were no operative deaths or serious postoperative complications. One patient had colorectal ischemia that resolved with conservative treatment. Eighteen of the 21 patients (85.7%) were alive 10 months to 14 years postoperatively. In conclusion, one-stage surgical treatment of concomitant AAA and gastric or colorectal cancer is well tolerated and can avoid the time. financial costs, and patient anxiety involved in a second operation.