title: [Simultaneous pulmonary resection and endovascular repair for patients with coexisting primary lung cancer and aneurysm].
abstract: The surgical strategy for coexisting lung cancer and aneurysm is controversial owing to the risk of aneurysm rupture during the perioperative period of pulmonary resection. We performed simultaneous pulmonary resection and endovascular repair in 2 patients with coexisting lung cancer and aneurysm. Case 1:A 74-year-old man presented at our hospital with cT2aN0M0 lung cancer and a 5.0 cm abdominal aortic aneurysm. Because computed tomography indicated the possibility of advanced lung cancer, we decided to perform simultaneous surgery for lung cancer and the aneurysm. Under general anesthesia, endovascular aneurysm repair was performed before right lower lobectomy with lymphadenectomy. The postoperative course was uneventful, and the patient was discharged on postoperative day 12. Case 2:A 72-year-old man presented at our hospital with cT2aN1M0 lung cancer, a 5.0 cm left internal iliac artery aneurysm, and right renal cell carcinoma( RCC). Because the lung cancer was advanced and the patients needed following surgical treatment for RCC, we decided to perform simultaneous surgery for lung cancer and the aneurysm. Under general anesthesia, endovascular aneurysm repair was performed before right upper lobectomy with lymphadenectomy. The postoperative course was uneventful, and the patient was discharged on postoperative day 11.
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, Niigata University School of Medical and Dental Sciences, Niigata, Japan.
authors.forename: Terumoto
authors.initials: T
authors.lastname: Koike
authors.forename: Hiroki
authors.initials: H
authors.lastname: Sato
authors.forename: Seijiro
authors.initials: S
authors.lastname: Sato
authors.forename: Takeshi
authors.initials: T
authors.lastname: Okamoto
authors.forename: Takehisa
authors.initials: T
authors.lastname: Hashimoto
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Hanzawa
authors.forename: Masanori
authors.initials: M
authors.lastname: Tsuchida
mesh_terms: D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D017543:Iliac Aneurysm / Q000150:complications* / Q000601:surgery*; D007083:Iliac Artery / Q000601:surgery*; D008175:Lung Neoplasms / Q000150:complications* / Q000601:surgery*; D008197:Lymph Node Excision; D008297:Male; D011013:Pneumonectomy / Q000379:methods*; D015607:Stents; D016896:Treatment Outcome