CHIRURGIA DELL'ANEURISMA DELL'AORTA ADDOMINALE E CONCOMITANTE PATOLOGIA DEL CANALE DIGESTIVO

The incidence of intra-abdominal diseases associated with abdominal aortic aneurysm is increasing, and it is difficult to decide whether to operate the abdominal disease first, the aneurysm first or both simultanously. Variables used in decision analysis include type, stage and life expectancy of the cancer, rupture rate of abdominal aortic aneurysm. Symptomatic lesion should be treated first. Absolute indication for operation initially on the aneurysm is the presence of symptoms of rupture. Aortic abdominal aneurysmectomy combined whit surgical removal of an intestinal disease may present severe risks as infection of the graft and anastomotic leakage, expecially during lower abdominal surgery. In this paper authors present four cases of AAA which had intraabdominal surgical disease. They were treated by one-stage operation with no complications. Criteria to assess timing of surgical treatment of abdominal surgical diseases concomitant to AAA are discussed.