Synchronous sigmoid cancer and abdominal aortic aneurysm treated by laparoscopic colectomy followed by endovascular aneurysm repair

Abstract

Highlights We report the clinical management challenge of synchronous abdominal aorta aneurysms (AAA) and colorectal cancer (CRC). Management of synchronous sigmoid cancer and abdominal aortic aneurysm requires a collegiate decision which should take into consideration the aneurysm rupture risk, the malignancy stage of tumor but also the technical platform. In such situation, the main controversy is the necessity of treating the diseases simultaneously or in two stages favouring the AAA management first. We report the first case published in literature in which the patient was treated for colorectal cancer first by laparoscopic surgery followed by EVAR. Nevertheless, the surgeon must adapt his technique according to the situations, and respect the oncological and functional requirements as much as possible.

Laparoscopic Management of Concomitant Sigmoid Colon Cancer and Type 2 Endoleak Following Endovascular Aneurysm Repair

“…To the best of our knowledge, fewer that ten cases of endovascular AAA repair and minimal invasive colectomy are recorded in the literature, with type 2 endoleaks seldom reported (Table 1). [4][5][6][7][8][9] Two authors among the others elected to repair the AAA prior to the laparoscopic colectomy. 7,9 It has been already noted that endoleak and thromboocclusive events constitute the most prevalent indications for reintervention following EVAR.…”

“…To the best of our knowledge, fewer that ten cases of endovascular AAA repair and minimal invasive colectomy are recorded in the literature, with type 2 endoleaks seldom reported (Table 1). 4-9 Two authors among the others elected to repair the AAA prior to the laparoscopic colectomy. 7,9…”