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首页> 外文期刊>Annals of thoracic and cardiovascular surgery: official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia >A single-stage operation for abdominal aortic aneurysm with concomitant colorectal carcinoma.
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A single-stage operation for abdominal aortic aneurysm with concomitant colorectal carcinoma.

机译：腹主动脉瘤并发大肠癌的单阶段手术。

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摘要

The coexistence of abdominal aortic aneurysm (AAA) and colorectal carcinoma needs special operative consideration. A single-stage operation for concomitant AAA and colorectal carcinoma has been thought to increase the risk of vascular prosthetic graft infection. We report two patients who received a single-stage operation for AAA and colorectal carcinoma. The first patient had a fusiform aneurysm of the infrarenal aorta. The second patient had a saccular aneurysm of the infrarenal aorta and a fusiform aneurysm of the left internal iliac artery. Both patients had left-sided colorectal carcinoma classified as Dukes' stage B. The two patients underwent a single-stage operation with Hartmann's procedure to avoid graft infection caused by anastomotic leakage. They tolerated the operation and had no postoperative complications including graft infection. A single-stage operation for concomitant AAA and left-sided colorectal carcinoma could be safely performed with Hartmann's procedure in two cases.
机译：腹主动脉瘤（AAA）与结直肠癌并存需要特殊的手术考虑。有人认为，伴随AAA和结直肠癌的单阶段手术会增加人工血管移植物感染的风险。我们报告了两名接受AAA和大肠癌单期手术的患者。第一位患者患有肾下主动脉梭状动脉瘤。第二名患者有肾下主动脉的囊状动脉瘤和左internal内动脉的梭状动脉瘤。两名患者均患有左大肠癌，分类为Dukes的B期。两名患者均接受了Hartmann手术的单阶段手术，以避免由吻合口漏引起的移植物感染。他们耐受手术并且没有包括移植物感染在内的术后并发症。在两种情况下，可以通过Hartmann手术安全地进行AAA和左侧结直肠癌的单阶段手术。

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