Simultaneous repair of abdominal aortic aneurysm and resection of unexpected, associated abdominal malignancies

Caliò, Francesco G.; D’Urso, Antonio; Lorusso, Riccardo; Ceccanei, Gianluca; Vietri, F

doi:10.1002/jso.20149

Cited by 22 publications

(12 citation statements)

References 19 publications

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“…The present case supports the assumption that synchronous, individually resectable intra-abdominal tumors can be successfully, simultaneously resected through the same surgical approach, as already suggested by previous reports [[1], [2], [3],5]. The association of a carcinoma of the cardia with other intraabdominal tumors, both individually resectable, is fairly infrequent, but has already been reported [2,3,5].…”

Section: Discussionsupporting

confidence: 91%

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Simultaneous resection of an adenocarcinoma of the cardia and a synchronous adenocarcinoma of the sigmoid: Report of a case

Pizzardi

Pasqua

et al. 2018

Annals of Medicine and Surgery

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IntroductionAdenocarcinoma of the cardia synchronous with other intraabdominal neoplasms is very rare. We report the case of a Siewert type II adenocarcinoma of the cardia synchronous with an adenocarcinoma of the sigmoid both treated simultaneously by transjatal oesophago-gastrectomy and anterior resection of the sigmoid.Case reportA 62 year-old male was admitted for a progressing dysphagia and weight loss. Oesophago-gastric fibroscopy detected an adenocarcinoma of the cardia extending to the distal 2 cm of the esophagus (Siewert typeII). A CT-scan of the chest and abdomen confirmed the cancer of the cardia and also decealed a synchronous tumor of the sigmoid. Both neoplasms were resected through a xipho-pubic laparotomy, with an ileostomy completing the procedure. Postoperative course was uneventful and ileostomy was closed four weeks later. The patient was subsequently addressed to oncological for adjuvant treatment.DiscussionThis report supports the indication of aggressive, simultaneous treatment of an adenocarcinoma of the cardia associated with a synchronous abdominal neoplasm, provided that both are resectable through the same surgical access, as anticipated at a preoperative, through diagnostic work-up.ConclusionSimultaneous resection of synchronous adenocarcinoma of the cardia and the sigmoid is feasible and avoids possible progression of the untreated neoplasm during the interval between two separate resections, provided that a curative resection can be obtained for both diseases.

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Section: Discussionsupporting

confidence: 91%

“…The association of intrabdominal neoplasms, either expected or unexpected, when performing abdominal operations for other diseases is not uncommon [1]. The association of a resectable adenocarcinoma of the cardia with another abdominal, equally resectable, cancer is fairly uncommon [2,3].…”

Section: Introductionmentioning

confidence: 99%

Simultaneous resection of an adenocarcinoma of the cardia and a synchronous adenocarcinoma of the sigmoid: Report of a case

Pizzardi

Pasqua

et al. 2018

Annals of Medicine and Surgery

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“…Recent advances in operative procedure and perioperative management enabled the decrease in operative mortality and morbidity in either AAA or malignancy surgery, so that the case of one-stage operation is increasing, which can avoid the risks of either tumor progression or AAA rupture, or the adhesion problem. [5][6][7] On the other hand, a strategy of two-stage operation with AAA repair first, colorectal operation second has been recommended because one-stage operation for both AAA and colorectal cancer may increase the risk of bacterial contamination to the prosthetic graft. 8,9) With the advances in surgical techniques for both AAA and malignancy, the discussion regarding the strategy should be renewed.…”

Section: Discussionmentioning

confidence: 99%

“…Particularly, the selection of either one-stage or two-stage surgery has been discussed in previous reports. [1][2][3][4][5][6][7][8][9] However, recent advances in surgical technique have facilitated less invasive treatment in the era of laparoscopic surgery and endovascular aneurysm repair (EVAR), which prompts us to discuss the strategy further. Here, we report a case of an AAA with colon cancer managed by two-stage surgery consisting of EVAR and subsequent laparoscopic colectomy.…”

Section: Introductionmentioning

confidence: 99%

Two-stage Surgery for Endovascular Repair and Laparoscopic Colectomy for a Patient with Abdominal Aortic Aneurysm and Concomitant Colon Cancer: Report of a Case

Tanaka¹,

Unno²,

Nakamura³

et al. 2009

Annals of Vascular Diseases

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Surgical management of abdominal aortic aneurysm (AAA) with concomitant malignancy remains controversial. Commercial availability of a stentgraft may change the treatment strategy for such patients. We present a case of AAA with concomitant colon cancer, in which two-stage surgery consisting of EVAR and subsequent laparoscopic colectomy was performed with an interval of six days. The patient's postoperative course was uneventful. For high-risk patients, application of endovascular AAA repair and laparoscopic surgery may decrease the risk of surgical morbidity and mortality.

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“…Published studies are either small case series or limited retrospective reports [3,6] , therefore, the ideal treatment strategy represents a therapeutic dilemma [2] . Initial aortic aneurysm repair followed by CRC resection exposes patients to the risk of tumor progression before resection, although no study has shown the oncological implications of such a delay.…”

Section: Discussionmentioning

confidence: 99%

Surgery for rare aneurysm associated with colorectal cance

Lü¹,

Tao²,

Shen³

et al. 2009

WJG

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The occurrence of concomitant aortic aneurysm and colorectal cancer is a rare medical entity, and controversy surrounds its optimal treatment. We report a case of rectal cancer and concomitant aneurysm from the ascending aorta to the common iliac artery. As with DeBakey type Ⅰ aortic dissecting aneurysm, our patient was treated by rectal cancer resection, with preservation of the anus (Dixon operation) under controlled hypotension. Blood pressure was maintained at 80-90/ 50-60 mmHg and the pulse at 70-90 beats/min. The pathological examination of the surgical specimen showed a poorly differentiated T3N0 tumor. The patient had an uneventful recovery without aneurysm rupture, and was discharged from hospital on postoperative day 15 after 3 d adjuvant chemotherapy with oxaliplatin combined with calcium folinate and fluorouracil. The patient was given six courses of adjuvant chemotherapy in 6 mo, without recurrence or metastasis, and the aneurysm was still stable after 2 years follow-up.

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Simultaneous repair of abdominal aortic aneurysm and resection of unexpected, associated abdominal malignancies

Cited by 22 publications

References 19 publications

Simultaneous resection of an adenocarcinoma of the cardia and a synchronous adenocarcinoma of the sigmoid: Report of a case

Simultaneous resection of an adenocarcinoma of the cardia and a synchronous adenocarcinoma of the sigmoid: Report of a case

Two-stage Surgery for Endovascular Repair and Laparoscopic Colectomy for a Patient with Abdominal Aortic Aneurysm and Concomitant Colon Cancer: Report of a Case

Surgery for rare aneurysm associated with colorectal cance

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