Management of synchronous infrarenal aortic disease and large bowel cancer: a North-east of Scotland experience.

作者: P. Bachoo , G. Cooper , J. Engeset , K.S. Cross

DOI: 10.1053/EJVS.2000.1093

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摘要: Abstract Objectives to review our experience of combined aortic and colonic surgery. Design retrospective review. Methods synchronous colorectal procedures were identified from prospective computerised audit archival vascular records. Clinical parameters used as surrogates for measuring clinical outcome. Results six patients (F:M=2:1), median age 75.6 years (range 70–80 years) with infrarenal pathology (5 aneurysms, AP diameter 6 cm, 1 occluded aortoiliac segment) carcinoma. All carcinomas Dukes stage B moderately well differentiated. Synchronous resections performed in five cases, bypass occlusion was deferred preference resection one case. Operating time ranged between 3–6.5 hours (median 4 h), transfusion requirements 2–5 units 3 units). One anastomotic dehiscence reported. With follow-up months all remain alive; no patient has re-presented graft sepsis or symptomatic tumour recurrence. Conclusion lesion may be a treatment option selected cases.

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