Colorectal cancer associated with abdominal aortic aneurysm Results of EVAR followed by colectomy


COD: 05_2013_579-582 Categorie: ,

Giulio Illuminati, Gianluca Ceccanei, Maria A. Pacilè, Giulia Pizzardi, Piergaspare Palumbo, Francesco Vietri

Ann. Ital. Chir., 2013 84: 579-582

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The association of colorectal cancer and abdominal aortic aneurysm (AAA) is infrequent but poses special problems of priority of treatment under elective circumstances. The purpose of this study was to retrospectively evaluate the outcome of 16 consecutive patients undergoing endovascular aneurysm repair (EVAR) followed by colectomy. Operative mortality was nil. Operative morbidity included two transient rise of serum creatinine level and one extraperitoneal anastomotic leakage which evolved favourably with conservative treatment. EVAR allowed a very short delay of treatment of colorectal cancer after aneurysm repair, minimizing operative complications.