Τίτλος:
Laparoscopic Management of Concomitant Sigmoid Colon Cancer and Type 2 Endoleak Following Endovascular Aneurysm Repair
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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.
Συγγραφείς:
Bakopoulos, A.
Koliakos, N.
Papaconstantinou, D.
Bistarakis, D.
Zymvragoudakis, V.
Schizas, D.
Pikoulis, E.
Lazaris, A.M.
Περιοδικό:
Italian Journal of Vascular and Endovascular Surgery
Εκδότης:
SAGE Publications Inc.
Λέξεις-κλειδιά:
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
DOI:
10.1177/15385744221083087
