Department of Cardiothoracic Surgery, University of Patras School of Medicine, Patras, Greece.
World J Surg Oncol. 2010 Jun 15;8:50. doi: 10.1186/1477-7819-8-50.
This is written so as to report the case of a 71-year-old male with a diagnosis of sigmoid adenocarcinoma accompanied by severe coronary artery disease and unstable angina, which was subject to simultaneous surgical treatment. The patient initially underwent an off-pump coronary artery revascularization in order to avoid the complications of cardiopulmonary bypass, providing the opportunity of a colectomy at the same time with the use of safe surgical means. Our case suggests that performing an off-pump bypass procedure prior to cancer surgery can be an appropriate course of action in carefully selected cases.
本文旨在报告一例 71 岁男性病例,该患者诊断为乙状结肠癌,同时伴有严重的冠状动脉疾病和不稳定型心绞痛,需要同时进行手术治疗。为了避免体外循环的并发症,该患者首先接受了非体外循环冠状动脉旁路移植术,同时使用安全的手术方法进行结直肠切除术。我们的病例表明,在仔细选择的情况下,在癌症手术前进行非体外循环旁路手术是一种合适的治疗方法。