Document Detail


Surgical management for a malignancy of the digestive organs accompanied with an abdominal aortic aneurysm.
MedLine Citation:
PMID:  9744417     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Surgical management of patients with simultaneous coexisting malignancy of the digestive organs and an abdominal aortic aneurysm (AAA) remains controversial. In the five patients who underwent the aneurysmectomy first, no complications developed after an aneurysmectomy and a resection of malignancy could be performed within 4 weeks, whereas postoperative complications after the resection of malignancy developed in two of them. Two patients underwent a one-stage operation, in which one was unable to tolerate the two procedures, and no postoperative complications were seen; however, one patient with cardiac dysfunction who first underwent an aneurysmectomy died 3 months after operation due to cardiac and renal failure. These results indicate that the aneurysmectomy first is preferred, when such patients do not have absolute indications of malignancy or AAA; however, a one-stage operation should be chosen when the patients show a disturbance of key organs.
Authors:
H Konno; H Kaneko; T Hachiya; Y Maruo; T Tanaka; S Suzuki; S Nakamura; S Baba
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  28     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  1998  
Date Detail:
Created Date:  1998-12-30     Completed Date:  1998-12-30     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  988-91     Citation Subset:  IM    
Affiliation:
Second Department of Surgery, Hamamatsu University School of Medicine, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aortic Aneurysm, Abdominal / complications,  surgery*
Female
Gastrointestinal Neoplasms / complications,  surgery*
Humans
Male
Middle Aged
Prognosis
Reoperation
Retrospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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