Management of abdominal aortic aneurysms associated with malignancy
山口医学 Volume 49 Issue 3
Page 379-384
published_at 2000-06-30
Title
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
Source Identifiers
Creator Keywords
腹部大動脈瘤
手術適応
同時手術
腹部悪性腫瘍
癌
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.
Languages
jpn
Resource Type
journal article
Publishers
山口大学医学会
Date Issued
2000-06-30
Rights
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()
File Version
Version of Record
Access Rights
open access
Relations
[ISSN]0513-1731
[NCID]AN00243156
[isVersionOf]
[NAID]http://ci.nii.ac.jp/naid/110002773960/
Schools
医学部