Management of abdominal aortic aneurysms associated with malignancy

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.

腹部大動脈瘤

手術適応

同時手術

腹部悪性腫瘍

癌

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