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同时性结直肠癌合并腹主动脉瘤的同期治疗。一期手术是否可行?

Synchronous colorectal cancer and abdominal aortic aneurysm treated simultaneously. Is a one-stage surgery a feasible treatment?

机构信息

Gastrointestinal Surgery Department, Hospital El Bierzo, Ponferrada, Spain.

Gastrointestinal Surgery Department, Hospital Universitario de Salamanca, Salamanca, Spain.

出版信息

Acta Chir Belg. 2023 Jun;123(3):325-328. doi: 10.1080/00015458.2021.2023446. Epub 2022 Jan 3.

Abstract

The finding of synchronous abdominal aortic aneurysm and colorectal cancer is rare. There is no consensus on which is the best surgical approach, so its management remains uncertain. A 64-year-old man was diagnosed with synchronous abdominal aortic aneurysm and rectal cancer. One-stage treatment was performed: He underwent endovascular aortic repair followed by simultaneous laparoscopic tumor resection. In our experience, one-stage minimally invasive surgery could be a safe and feasible treatment for concomitant abdominal aortic aneurysm and colorectal cancer.

摘要

同时患有腹主动脉瘤和结直肠癌的情况较为罕见。对于哪种手术方法最佳,目前尚无共识,因此其治疗仍存在不确定性。一名 64 岁男性被诊断患有同时患有腹主动脉瘤和直肠癌。对其进行了一期治疗:他接受了血管内主动脉修复术,随后进行了腹腔镜肿瘤切除术。根据我们的经验,一期微创手术可能是治疗同时患有腹主动脉瘤和结直肠癌的一种安全且可行的方法。

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