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Vascular and Endovascular Surgery
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Successful Simultaneous Resection of Abdominal Aortic Aneurysm and Rectal Cancer

A Case Report

Kimihiro Komori, M.D.

Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan

Kenichiro Okadome, M.D.

Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan

Satoru Funahashi, M.D.

Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan

Hiroyuki Itoh, M.D.

Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan

Masaki Mori, M.D. , F.A.C.S.

Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan

Keizo Sugimachi, M.D.

Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan

The surgical approach to patients with an abdominal aortic aneurysm (AAA) and gastrointestinal malignancy remains controversial. The Authors experienced a case with AAA and rectal cancer, which was treated by a successful one-stage operation. At first, the operation for the aneurysm was done through a transperitoneal approach, and then, an abdominoperineal resection for rectal cancer was simultaneously done with a closed-bowel resection by the stapling technique. The postoperative course was uneventful. The patient was discharged on the thirty-second postoperative day. From the standpoint of bacterial contamination, these two operations should be done separately; however, simultaneous operations such as the one described herein are possible if great care is taken.

Vascular and Endovascular Surgery, Vol. 28, No. 3, 223-228 (1994)
DOI: 10.1177/153857449402800310
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