Maeda K, Kodaira S, Teramoto T, Orii M, Abe O
Department of Surgery, School of Medicine, Keio University, Tokyo, Japan.
Jpn J Surg. 1987 Jul;17(4):289-92. doi: 10.1007/BF02470702.
Two cases of rectal carcinoma associating aorto-iliac occlusive disease are presented. These two cases had complete obstruction of the affected vessels, but many collateral pathways from the aorta to the legs had developed, mainly through the superior rectal artery or parietal vessels. Changes in blood flow to the legs, following the radical operation for rectal carcinoma, were examined by both preoperative angiography and perioperative Doppler flow meter. Vascular reconstruction was carried out in one case prior to resection of the rectum, in order to prevent the ischemic legs from becoming worse, or necrotic. The indications for supportive vascular surgery in the case of rectal carcinoma with aorto-iliac occlusive disease are discussed herein.
本文报告两例伴有主-髂动脉闭塞性疾病的直肠癌病例。这两例患者受累血管完全阻塞，但已形成许多从主动脉至下肢的侧支循环路径，主要通过直肠上动脉或体壁血管。术前血管造影和围手术期多普勒流量计检查了直肠癌根治术后下肢的血流变化。为防止缺血性下肢病情加重或坏死，其中一例在直肠切除术前进行了血管重建。本文讨论了伴有主-髂动脉闭塞性疾病的直肠癌患者支持性血管手术的适应证。
