Successful Simultaneous Resection of Abdominal Aortic Aneurysm and Rectal Cancer

Abstract

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.