Successful Simultaneous Operation of Concomitant Early Gastric Cancer, Transverse Colon Cancer, and a Common Iliac Artery Aneurysm

Abstract

In an 83-year-old Japanese man, concomitant bleeding colon cancer, early gastric cancer, and an expanding right common iliac artery aneurysm were evident. The patient underwent an artificial graft implantation, partial gastrectomy, and transverse colectomy, simultaneously. To protect against graft infection, the aneurysm was resected first, and then the retroperitoneum was tightly closed to isolate the graft from the peritoneal cavity. The postoperative course was uneventful, except for symptoms of temporary delirium. Recently, simultaneous surgery for concomitant abdominal aortic aneurysms and early gastric cancer has been commonly performed in Japan because the contamination of the peritoneal cavity during a gastrectomy is thought to be less severe than that during lower abdominal surgery. However, the positive rate for bacterial culture in colorectal resections is virtually the same as that in gastrectomies. Moreover, the incidence of graft infection is substantially lower than the positive rate for bacterial culture in surgery for aneurysms. Some surgeons object to a simultaneous resection due to fear of graft infection, but even the presence of infectious organisms does not always result in graft infection. The present case illustrates the benefits of a simultaneous operation for both an aneurysm and gastrointestinal malignancy.

Invasive Cancer of the Colon with Gastric Metastasis

“…They also stressed the importance of the possibility of developing metachronous cancer in patients treated for a primary malignant tumor. Another case of synchronous carcinoma of the transverse colon and early gastric cancer has been reported by Nakata, et al [18]. Parag Brahmbhatta, et al [19] report a case of recurrent colon adenocarcinoma as duodenal metastasis in a 54-year-old woman who underwent surgery for caecum adenocarcinoma two years ago.…”

Metachrone Gastrektomie bei Magenkarzinom nach transfemoralem Aortenstenting - Fallbericht aus einem Standardkrankenhaus

“…Da wir in der Literatur nur 23 derartige Fälle eruieren konnten, und die Therapiestrategien kontroversiell diskutiert werden (5, 9, 10, 11, 12, 14, 16, 20, 22), scheint uns der Patient berichtenswert.…”