Yubakami Masayuki, Hiramatsu Kenji, Yamazaki Takuma, Matsuzaki Yuichi, Houri Yu, Watanabe Nobuyuki, Kondo Yutaka, Ujiie Kazuto, Nishimura Yukihisa, Todo Momoko, Nakamura Yoshitaka, Atsuji Kiyoto, Yamaguchi Akihiro, Taniguchi Hiroki
Dept. of Surgery, Japanese Red Cross Kyoto Daini Hospital.
Gan To Kagaku Ryoho. 2018 Mar;45(3):477-479.
With the aging of the population of Japan and Westernization of the dietary life, the number of cases in which cardiovascular diseases are merged in non-cardiac surgery is increasing year by year.Many of the abdominal aortic aneurysms are asymptomatic and it is not uncommon to be discovered accidentally in preoperative examination of non-cardiac surgery.When gastrointestinal surgery involves malignant diseases of the gastrointestinal tract and abdominal aortic aneurysm, the two life prognosis-related diseases are merged, depending on the severity and urgency of the disease for each case, its treatment to determine the priority order.Abdominal aortic aneurysm occurred at the time of malignant disease surgery in 14 cases of gastrointestinal cancer patients who underwent surgery at the department during the 5 years from 2012 to 2016.T he actual condition of treatment for these cases was investigated.
随着日本人口老龄化和饮食生活的西化,非心脏手术合并心血管疾病的病例数逐年增加。许多腹主动脉瘤是无症状的,在非心脏手术的术前检查中偶然发现并不罕见。当胃肠手术涉及胃肠道恶性疾病和腹主动脉瘤时,这两种与生命预后相关的疾病合并在一起,需要根据每个病例疾病的严重程度和紧急程度来确定其治疗的优先顺序。对2012年至2016年5年间在该科室接受手术的14例胃肠道癌症患者,在恶性疾病手术时发生腹主动脉瘤的情况进行了调查,并对这些病例的实际治疗情况进行了研究。