title: Synchronous colorectal malignancy and abdominal aortic aneurysm treated with endovascular aneurysm repair followed by laparoscopic colectomy.
abstract: Although the incidence of synchronous abdominal aortic aneurysm (AAA) and malignancies is increasing, there has been no clear consensus in the surgical treatment of such patients. The focus on surgical treatments with minimal invasiveness, such as endovascular aneurysm repair (EVAR) for AAA and laparoscopic colectomy for colorectal cancer, has increased; however, the clinical applicability of combination treatment with EVAR and laparoscopic colectomy has not been established. A 61-year-old man was diagnosed with AAA, advanced sigmoid colon cancer, and coronary artery stenosis. Because the patient also had chronic renal failure with nephrotic syndrome, among several other comorbidities, surgery was considered to be associated with high risks in this patent. Sequential treatments with percutaneous coronary intervention, EVAR, and laparoscopic colectomy were successfully performed. Staged treatment of EVAR followed by laparoscopic colectomy may be a promising strategy for high-risk patients with AAA associated with malignancy.
authors: 1 Department of Surgical Oncology and.
authors: Kazushige
authors: K
authors: Kawai
authors: Eiji
authors: E
authors: Sunami
authors: Junichiro
authors: J
authors: Tanaka
authors: Toshiaki
authors: T
authors: Tanaka
authors: Tomomichi
authors: T
authors: Kiyomatsu
authors: Hiroaki
authors: H
authors: Nozawa
authors: Shinsuke
authors: S
authors: Kazama
authors: Takamitsu
authors: T
authors: Kanazawa
authors: Akihiro
authors: A
authors: Hosaka
authors: Soichiro
authors: S
authors: Ishihara
authors: Hironori
authors: H
authors: Yamaguchi
authors: Kunihiro
authors: K
authors: Shigematsu
authors: Toshiaki
authors: T
authors: Watanabe
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000601:surgery*; D003082:Colectomy / Q000379:methods*; D015179:Colorectal Neoplasms / Q000150:complications / Q000601:surgery*; D054855:Drug-Eluting Stents; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged
keywords: Abdominal aortic aneurysm; Colorectal cancer; Endovascular aneurysm repair; Laparoscopic surgery