Management of abdominal aortic aneurysms associated with malignancy

癌を合併した腹部大動脈瘤手術

Management of abdominal aortic aneurysms associated with malignancy

Creators Kurata Satoru

Creators Kudo Junichi

Creators Nawata Sumihiko

Creators Kuroki Tamotsu

Creators Iwasaki Kazuomi

Creators Nagashima Hiroshi

Creators Kuroda Yutaka

Creators Nakayasu Kiyoshi

Creators Hongo Hiroshi

Creators Hirata Ken

Creators Zempo Nobuya

Creators Esato Kensuke

Between June 1983 and July 1999, we treated 43 patients with cancer and abdominal aortic aneurysm (AAA). According to the classification of Szilagyi. there were 19 patients in group I, 23 in group II, and 1 in group IV. In group I, the period from cancer surgery until discovery of the AAA ranged from 7 months to 14 years (mean 6.5 years). Aneurysmectomy was performed in 14 patients, wrapping in 2, and no operation in 3. In group II, a two-stage operation was performed in 9 patients, a single-stage operation in 4, only cancer surgery in 6, and no operation in 4. In the two-stage operation, the cancer was given priority in 8 patients and the AAA was treated first in 1. Among the 4 patients undergoing single-stage operation, no graft infection or anastomotic breakdown occurred. Total survival was 21 of 43 patients (49%) with a mean of 40 months after initial diagnosis of AAA. Mortality was dependent upon cancer and senility. We recommended that if a patient can tolerate surgery for both diseases, a single-stage operation is preferable.

本文データは山口大学医学会の許諾に基づきCiNiiから複製したものである()

[ISSN]0513-1731

[NCID]AN00243156

[isVersionOf] [NAID]http://ci.nii.ac.jp/naid/110002773960/