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Related Experiment Videos

Surgery for abdominal aortic aneurysms associated with malignancy

S Kurata1, K Nawata, S Nawata

  • 1Department of Surgery, Yamaguchi Central Hospital, Hofu, Japan.

Surgery Today
|September 23, 1998
PubMed
Summary

For patients with abdominal aortic aneurysms (AAA) and cancer, a single-stage surgical approach is preferable if tolerated. This approach may improve outcomes for patients with co-existing AAA and malignancy.

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Area of Science:

  • Vascular Surgery
  • Surgical Oncology

Background:

  • Abdominal aortic aneurysms (AAA) and cancer frequently coexist in patients.
  • Management strategies for patients with both conditions require careful consideration.

Purpose of the Study:

  • To evaluate the outcomes of surgical management for patients with abdominal aortic aneurysms (AAA) and concomitant cancer.
  • To compare the efficacy of single-stage versus multi-stage surgical interventions.

Main Methods:

  • Retrospective analysis of 148 patients treated for AAA, with 33 also diagnosed with cancer.
  • Classification of patients based on the Szilagyi criteria (Groups I, II, and IV).
  • Review of surgical approaches including aneurysmectomy, wrapping, two-stage, and single-stage operations for both conditions.

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Main Results:

  • Of 33 patients with AAA and cancer, 13 were in Group I, 19 in Group II, and 1 in Group IV.
  • In Group II, 4 patients underwent single-stage operations (3 with colorectal cancer) without complications like graft infection.
  • Mortality rates varied: 6/13 deaths in Group I (no cancer deaths), 6/19 deaths in Group II (due to progressive cancer), and the Group IV patient died of cancer.

Conclusions:

  • Single-stage surgical operations for co-existing abdominal aortic aneurysms (AAA) and cancer are associated with better outcomes when patients can tolerate the procedure.
  • Careful patient selection and surgical planning are crucial for managing these complex cases.