TY - JOUR
TI - Laparoscopic Management of Concomitant Sigmoid Colon Cancer and Type 2 Endoleak Following Endovascular Aneurysm Repair
AU - Bakopoulos, A.
AU - Koliakos, N.
AU - Papaconstantinou, D.
AU - Bistarakis, D.
AU - Zymvragoudakis, V.
AU - Schizas, D.
AU - Pikoulis, E.
AU - Lazaris, A.M.
JO - Italian Journal of Vascular and Endovascular Surgery
PY - 2022
VL - 56
TODO - 5
SP - 505-508
PB - SAGE Publications Inc.
SN - 1824-4777
TODO - 10.1177/15385744221083087
TODO - capecitabine;  fluorouracil, abdominal mass;  adjuvant chemotherapy;  aged;  Article;  atrial fibrillation;  cancer staging;  case report;  clinical article;  colectomy;  colonoscopy;  computed tomographic angiography;  computer assisted tomography;  contrast enhancement;  coronary artery aneurysm;  endoleak;  endovascular aneurysm repair;  fluorescence intensity;  fluorography;  human;  inferior mesenteric artery;  infrarenal aortic aneurysm;  laparoscopy;  ligation;  male;  pancreas pseudocyst;  postoperative complication;  postoperative period;  Roux Y anastomosis;  sigmoid cancer;  sigmoidectomy;  abdominal aortic aneurysm;  adverse event;  blood vessel transplantation;  colon tumor;  complication;  diagnostic imaging;  endoleak;  endovascular surgery;  procedures;  retrospective study;  treatment outcome, Aged;  Aortic Aneurysm, Abdominal;  Blood Vessel Prosthesis Implantation;  Endoleak;  Endovascular Procedures;  Humans;  Laparoscopy;  Male;  Retrospective Studies;  Sigmoid Neoplasms;  Treatment Outcome
TODO - The co-occurrence of abdominal aortic aneurysm (AAA) and colorectal malignancy creates a significant surgical dilemma over which entity should be addressed first. A 73-year-old male was referred to our hospital due to a painful pulsatile abdominal mass. Computed tomographic angiography revealed an infrarenal aortic aneurysm measuring 5.8 cm in diameter and incidentally, a synchronous mass lesion in the sigmoid colon. The patient underwent an emergency EVAR using a Gore Excluder endograft. Postoperative CT staging for colon cancer revealed a type 2 endoleak on the grounds of a patent wide inferior mesenteric artery. The patient underwent a standard laparoscopic left colectomy with high ligation of the inferior mesenteric artery in order to simultaneously address the ongoing type 2 endoleak. Follow-up examinations with computed tomographic angiography were performed confirming the resolution of the endoleak. Synchronous laparoscopic sigmoidectomy and high ligation of inferior mesenteric artery for type 2 endoleak treatment appears to be applicable with hopeful results. © The Author(s) 2022.
ER -