title: Management of synchronous infrarenal aortic disease and large bowel cancer: a North-east of Scotland experience.
abstract: OBJECTIVE
  to review our experience of combined aortic and colonic surgery.
  
  
  METHODS
  retrospective review.
  
  
  METHODS
  synchronous aortic and colorectal procedures were identified from prospective computerised audit and archival vascular records. Clinical parameters were used as surrogates for measuring clinical outcome.
  
  
  RESULTS
  six patients (F:M=2:1), median age 75.6 years (range 70-80 years) were identified with infrarenal aortic pathology (5 aneurysms, median AP diameter 6 cm, 1 occluded aortoiliac segment) and colonic carcinoma. All carcinomas were Dukes stage B and moderately well differentiated. Synchronous aortic and colonic resections were performed in five cases, bypass for aortoiliac occlusion was deferred in preference to colonic resection in one case. Operating time ranged between 3-6.5 hours (median 4 h), transfusion requirements 2-5 units (median 3 units). One anastomotic dehiscence was reported. With follow-up between 6 months to 6 years all patients remain alive; no patient has re-presented with graft sepsis or symptomatic tumour recurrence.
  
  
  CONCLUSIONS
  synchronous resections of aortic and colonic lesion may be a treatment option in selected cases.
authors.affiliation: Department of Vascular Surgery, Aberdeen Royal Infirmary, Foresterhill, Aberdeen, AB9 2ZB, Scotland, U.K.
authors.forename: P
authors.initials: P
authors.lastname: Bachoo
authors.forename: G
authors.initials: G
authors.lastname: Cooper
authors.forename: J
authors.initials: J
authors.lastname: Engeset
authors.forename: K S
authors.initials: KS
authors.lastname: Cross
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D003082:Colectomy; D003110:Colonic Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007083:Iliac Artery; D008297:Male; D012189:Retrospective Studies; D012606:Scotland; D016896:Treatment Outcome