Minimally invasive treatment of portal hypertension, abdominal aortic aneurysm, and colon cancer: a case report.
Surgical therapy in cirrhotic patients has high morbidity and mortality. Hepatic function and complexity of surgical procedures strongly influence postoperative results. We report the case of a cirrhotic patient with portal hypertension, abdominal aortic aneurysm (AAA), and right colon cancer. After neoadjuvant transjugular intrahepatic portosystemic shunt, we performed 1-stage endovascular aneurysm repair and laparoscopic right colectomy. Minimally invasive surgery allows the effective treatment of high-risk patients with severe comorbidities that some years ago would not have been operated on.
Minicozzi
Annamaria
A
University of Verona, School of Medicine, II Postgraduate School of General Surgery, First Clinical Division of General Surgery, Vascular Surgery Unit, Civile Maggiore Hospital, Verona, Italy. annaminicozzi@hotmail.com
Veraldi
Gian Franco
GF
Borzellino
Giuseppe
G
D000230:Adenocarcinoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000473:pathology / Q000601:surgery*; D003110:Colonic Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D057510:Endovascular Procedures; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D019168:Portasystemic Shunt, Transjugular Intrahepatic