Research Article

Synchronous Gastrointestinal Tumor and Abdominal Aortic Aneurysm or Dissection Treated with Endovascular Aneurysm Repair Followed by Tumor Resection

Table 3

Literatures related to endovascular repair followed by tumor resection for the synchronous presentation of AAA and gastrointestinal tumor.

Study, yearRecruitment periodNumber of patientsManagement strategyKey outcome

Shalhoub et al., 2009 [1]2001-200613Cancer resection prior to open aneurysm repair () or EVAR ();
EVAR prior to cancer resection ();
synchronous surgery ()
No interval AAA ruptures, graft infection, or postoperative mortalities
Ward et al., 2009 [5]20092Retroperitoneal aortic repair prior to cancer resection ()Endovascular stenting was not feasible. Aortic repair followed by an ultralow anterior resection
Minicozzi et al., 2010 [10]2005-20081Synchronous EVAR and right colectomyAfter neoadjuvant TIPS for portal hypertension, 1-stage EVAR and laparoscopic right colectomy
Yoshinaga et al., 2011 [9]20111Simultaneous EVAR and total gastrectomyDespite higher operative risk, the patient had a good outcome
Spanos et al., 2011 [2]2004-20105EVAR first ();
synchronous EVAR and cancer resection ()
In 2 patients, EVAR followed by staged CRC resection. In 3 patients, single-stage procedures were performed
Eliescu and Brătucu, 2012 [6]20122EVAR first ();
EVAR for rupture of AAA four years ago ()
An expectation tactic was opted for the high risk of the aneurismal sac operation in the second patient
Matsuno et al., 2012 [12]20121Synchronous EVAR and distal gastrectomyEVAR is a safe and effective treatment for high-risk patients
Illuminati et al., 2013 [23]2001-201116EVAR followed by colectomy ()EVAR significantly shortened the delay between the two treatments, with an excellent postoperative outcome
Amato et al., 2014 [4]2009-20122EVAR followed by resection during the same operation ()No major complications related to the two minimally invasive procedures
Kawai et al., 2015 [7]20151EVAR followed by laparoscopic sigmoidectomyStaged treatment of EVAR followed by laparoscopic colectomy may be a promising strategy
Matsumoto et al., 2015 [8]1990-201214One-stage EVAR and gastric resection ();
open AAA repair and gastric resection (AAA first, ; cancer first, ; simultaneous, )
One-stage procedure including EVAR and gastric resection is feasible
López Arquillo et al., 2017 [11]20171Stent for acute intestinal obstruction;
EVAR followed by cancer resection
No complications; 3-month follow-up

AAA: abdominal aortic aneurysm; AAD: abdominal aortic dissection; EVAR: endovascular aortic repair.