Sequential Endovascular Repair and Pancreaticoduodenectomy for Abdominal Aortic Aneurysm Copresenting with Periampullary Cancer

Sheen, Aali J.; Baguneid, Mohamed; Ellenbogen, S.; Walker, Michael G.; Siriwardena, Ajith K.

doi:10.1007/s10016-005-9406-8

Cited by 7 publications

(11 citation statements)

References 7 publications

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“…Authors from many large centers (the Mayo Clinic, USA [23], The Cleveland Clinic Foundation, USA [30], the University of Naples Federico II and University of Turin, Italy [36, 37], the Michael E. DeBakey Department of Surgery, USA [8], the Keio University School of Medicine, Japan [13], the Imperial College London, UK [46], the Concord Repatriation General Hospital, Australia [31], and others [16, 45]) agree that the most life-threatening (or symptomatic) lesion should be addressed first. Large abdominal aortic aneurysms, obstructing colonic cancers, or bleeding gastric cancers, for example, should be treated first where possible.…”

Section: Discussionmentioning

confidence: 99%

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Management of Concomitant Cancer and Abdominal Aortic Aneurysm

Jibawi¹,

Ahmed²,

El-Sakka³

et al. 2011

Cardiology Research and Practice

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Background. The coexistence of neoplasm and abdominal aortic aneurysm (AAA) presents a real management challenge. This paper reviews the literature on the prevalence, diagnosis, and management dilemmas of concurrent visceral malignancy and abdominal aortic aneurysm. Method. The MEDLINE and HIGHWIRE databases (1966-present) were searched. Papers detailing relevant data were assessed for quality and validity. All case series, review articles, and references of such articles were searched for additional relevant papers. Results. Current challenges in decision making, the effect of major body-cavity surgery on an untreated aneurysm, the effects of major vascular surgery on the treatment of malignancy, the use of EVAR (endovascular aortic aneurysm repair) as a fairly low-risk procedure and its role in the management of malignancy, and the effect of other challenging issues such as the use of adjuvant therapy, and patients informed decision-making were reviewed and discussed. Conclusion. In synchronous malignancy and abdominal aortic aneurysm, the most life-threatening lesion should be addressed first. Endovascular aneurysm repair where possible, followed by malignancy resection, is becoming the preferred initial treatment choice in most centres.

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Section: Discussionmentioning

confidence: 99%

“…Most studies have not shown any significant increase in the risk of graft infection following a one-staged operation (see Table 3, [8, 13, 27, 28, 30, 31, 33–37, 45]). Nevertheless, few reports have documented a possible correlation between graft infection and simultaneous open abdominal surgery [27, 46, 47].…”

Section: Discussionmentioning

confidence: 99%

Management of Concomitant Cancer and Abdominal Aortic Aneurysm

Jibawi¹,

Ahmed²,

El-Sakka³

et al. 2011

Cardiology Research and Practice

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“…At the current time, endovascular abdominal aortic aneurysm repair (EVAR) is preferred by many authors in patients with significant comorbidities, including a coexisting malignancy. [1][2][3][4][5][6][7] Of the different types of cancer, urologic malignancy represents an incidence of approximately onethird a frequent subset, which can be subdivided into three types of tumor: (1) renal cell carcinoma (RCC), (2) prostate carcinoma (PC), and (3) transitional cell carcinoma (TCC) of the bladder. Each of these tumors has a specific therapeutic approach, depending on its staging.…”

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confidence: 99%

Infrarenal Abdominal Aortic Aneurysm with Concomitant Urologic Malignancy: Treatment Results in the Era of Endovascular Aneurysm Repair

et al. 2010

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During diagnostic workup for urologic malignancies, an abdominal aortic aneurysm (AAA) is identified in a proportion of patients. In the era of open AAA repair, these patients presented a surgical dilemma with regard to the sequence of the operations: cancer treatment first or AAA repair first? Previous assessments have concluded that irrespective of the followed strategy, the early and mediumterm mortality from the two operative procedures in this patient category was significant. With the introduction of endovascular aneurysm repair (EVAR), the mortality and morbidity associated with the treatment of both pathologic conditions may be more favorable than with open aneurysm repair. The objective of this study was to assess, in an institutional series of patients receiving EVAR, the early and long-term survival and complication rates in patients with urologic malignancies. In a series of 385 patients receiving EVAR, 14 had a concomitant urologic malignancy: renal cell carcinoma (5 patients), prostate carcinoma (6 patients), and carcinoma of the bladder (3 patients). The first-month mortality was nil. Long-term survival was 80%, 83%, and 67% for the three tumor types, respectively. EVAR offers improved treatment in patients with concomitant AAA and urologic malignancy and should be considered the first choice for these patients.

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“…Pancreatic adenocarcinoma, which accounts for the majority in pancreatic neoplasms, has a very poor prognosis, and pancreatic cystic or endocrine tumors (which have better survival rates) are relatively uncommon. The authors found only 4 cases of one-stage [7][8][9] and 6 cases of staged [9,11,[13][14][15] operations for AAA and pancreatic neoplasms in the English literature published from 1967 to 2010. To the best of our knowledge, this is the 5th reported case of a one-stage operation for concomitant AAA and pancreatic neoplasms.…”

Section: Discussionmentioning

confidence: 99%

A one-stage operation for abdominal aortic aneurysm and intraductal papillary mucinous neoplasms of the pancreas: report of a case

Tsuji¹,

Kitano²,

Sawada³

2012

Surg Today

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Pancreatic surgery concomitant with abdominal aortic repair is rarely chosen due to concerns about prosthetic infection following pancreatic leakage and the poor prognosis of pancreatic neoplasms. We herein report a successfully treated case of infrarenal abdominal aortic aneurysm and intraductal papillary mucinous neoplasms of the pancreas treated by a one-stage operation. A 75-year-old male with a history of cerebral infarction and chronic subdural hematoma was referred to our department with a pulsatile abdominal mass. A 70-mm infrarenal abdominal aortic aneurysm with severe proximal neck angulation and a 28-mm multilocular cystic tumor with mural nodules in the pancreas body were detected. Abdominal aortic repair with a prosthetic graft and distal pancreatectomy were performed simultaneously. The postoperative course was mostly uneventful, and he was discharged to a rehabilitation facility.

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Sequential Endovascular Repair and Pancreaticoduodenectomy for Abdominal Aortic Aneurysm Copresenting with Periampullary Cancer

Cited by 7 publications

References 7 publications

Management of Concomitant Cancer and Abdominal Aortic Aneurysm

Management of Concomitant Cancer and Abdominal Aortic Aneurysm

Infrarenal Abdominal Aortic Aneurysm with Concomitant Urologic Malignancy: Treatment Results in the Era of Endovascular Aneurysm Repair

A one-stage operation for abdominal aortic aneurysm and intraductal papillary mucinous neoplasms of the pancreas: report of a case

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