In this review the management of abdominal aortic aneurysm in a patient with colonic carcinoma is widely discussed. Certain special features of the operative approach deserve emphasis. The knowledge of possible pre- or postoperative complications is a necessary background for the understanding of the surgical problems of these diseases. Endeed, aortic abdominal aneurysmectomy combined with surgical removal of colonic cancer may present severe risks as infection of the graft and/or anastomotic leakage with a high mortality rate. An alternative approach is the prior treatment of the aneurysm particularly if it is large (> 6 cm). Nevertheless it becomes an emergency in the patient presenting signs of a possible rupture. Because of the real danger of the spread of cancer it has been suggested that the prior surgical treatment of the malignant lesion may be the surest operative approach. Aneurysmectomy should follow cancer removal as quickly as possible (6-7 days).
|Translated title of the contribution||Abdominal aortic aneurysm and colonic carcinoma|
|Number of pages||5|
|Publication status||Published - 1993|
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