Related Experiment Videos
Concurrent abdominal aortic aneurysm and urologic neoplasm: an argument for simultaneous intervention
D A Ginsberg1, J G Modrall, D Esrig
1Department of Surgery, University of Southern California School of Medicine, Los Angeles 90033-4612, USA.
Annals of Vascular Surgery
|September 1, 1995
Summary
Surgical management of concurrent abdominal aortic aneurysm (AAA) and urinary tract neoplasms in 24 patients showed good outcomes when AAA was resected during or before urologic procedures. Managing these concurrent conditions requires careful planning.
Area of Science:
- Vascular Surgery
- Urologic Oncology
- Surgical Management
Background:
- Concurrent abdominal aortic aneurysm (AAA) and urinary tract neoplasms present complex surgical challenges.
- Optimal management strategies for these co-existing conditions are not well-defined.
Purpose of the Study:
- To evaluate the surgical outcomes of patients with concurrent AAA and urinary tract neoplasms.
- To compare different surgical approaches regarding timing of AAA resection relative to urologic procedures.
Main Methods:
- Retrospective analysis of 24 patients with AAA and urinary tract neoplasms.
- Categorization into three groups based on AAA management: resection during urologic procedure (Group I), resection prior (Group II), and AAA left in situ (Group III).
- Review of surgical procedures, complications, and follow-up data.
Main Results:
- Group I (resection during urologic procedure) had one infectious complication; Group II (prior resection) experienced retroperitoneal fibrosis complicating ureteral dissection.
- No infectious or mechanical complications of vascular grafts in Groups I and II at mean 34-month follow-up.
- Group III (AAA left in situ) required subsequent AAA resection in four patients; three died.
Conclusions:
- Simultaneous or staged resection of AAA with urologic procedures can be managed safely and effectively.
- Leaving AAA in situ may necessitate future intervention, posing risks.
- Careful patient selection and surgical planning are crucial for managing concurrent AAA and urinary tract neoplasms.