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PubMed · 9744397

Surgery for abdominal aortic aneurysms associated with malignancy.

S Kurata·K Nawata·S Nawata·H Hongo·R Suto·H Nagashima·Y Kuroda·K Nakayasu·B Shirasawa·K Esato
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Abstract

Of 148 patients treated for abdominal aortic aneurysms (AAA), 33 (22%) also had cancer. According to the classification of Szilagyi, there were 13 patients in group I, 19 in group II, and 1 in group IV. In group I, the mean interval between the cancer and AAA operations was 7 years (range 1-14 years). Aneurysmectomy was performed in 9 patients, wrapping in 2, and no operation in 2. In group II, a two-stage operation was performed in 8 patients, a single-stage operation in 4, only surgery for cancer in 4, and no operation in 3. Of 4 patients undergoing single-stage operations, 3 had colorectal cancer, and there were no postoperative complications such as graft infection or anastomotic breakdown. In group I, 6 of 13 patients died, but there were no cancer deaths. In group II, 9 of 19 patients died, 6 from progressive cancer. The group IV patient also died of cancer. These results suggest that if a patient can tolerate surgery for both diseases, a single-stage operation is preferable.

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Abdominal NeoplasmsAdultAgedAged, 80 and overAortic Aneurysm, AbdominalBlood Vessel Prosthesis ImplantationFemaleFollow-Up StudiesGastrointestinal NeoplasmsHumansMaleMiddle AgedProsthesis FailureReoperationSurvival RateJournal Article

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S Kurata, K Nawata, S Nawata, H Hongo, R Suto, H Nagashima, Y Kuroda, K Nakayasu, B Shirasawa, K Esato. 1998. Surgery for abdominal aortic aneurysms associated with malignancy.. https://doi.org/10.1007/s005950050249

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